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1699090555
MITCHELL B. SHAW
MELVILLE, NY
NPI
1699090555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 034757)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
Dr. MITCHELL B. SHAW D.D.S.
510 BROADHOLLOW RD SUITE 130
MELVILLE, NY 11747-3671
Phone number: 631-271-1522
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Mailing Address
Dr. MITCHELL B. SHAW D.D.S.
510 BROADHOLLOW RD SUITE 130
MELVILLE, NY 11747-3671
Phone number: 631-271-1522
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