LARRY JAMES SHAW

WINDER, GA
NPI1750459608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN008451)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Dr. LARRY JAMES SHAW dmd
315 N BROAD ST
WINDER, GA 30680-2156
Phone number: 770-867-9451
Mailing Address
Dr. LARRY JAMES SHAW dmd
315 N BROAD ST
WINDER, GA 30680-2156
Phone number: 770-867-9451