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1811067432
TYLER C SHAW
OGDEN, UT
NPI
1811067432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 308512)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. TYLER C SHAW D.D.S
1245 CAPITOL ST STE 111-S
OGDEN, UT 84401-2893
Phone number: 801-394-1289
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Mailing Address
Dr. TYLER C SHAW D.D.S
1245 CAPITOL ST STE 111-S
OGDEN, UT 84401-2893
Phone number: 801-394-1289
Copy
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