| NPI | 1699040592 |
|---|---|
| Doing Business As | MINDY SHAW, DDS |
| Entity Type | Organization |
| Authorized Contact | MINDY J. SHAW Dentist 907-789-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1341) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |