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1750459608
LARRY JAMES SHAW
WINDER, GA
NPI
1750459608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN008451)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Dr. LARRY JAMES SHAW dmd
315 N BROAD ST
WINDER, GA 30680-2156
Phone number: 770-867-9451
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Mailing Address
Dr. LARRY JAMES SHAW dmd
315 N BROAD ST
WINDER, GA 30680-2156
Phone number: 770-867-9451
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