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Dr. MICHAEL P. SHAW -- DDS

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Pathology

Provider Information

NPI Number
1679594113
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
2020 STANDIFORD AVE STE B, MODESTO, CA, 953506530
Phone
(209) 525-9339
Fax
(209) 525-9366

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Pathology Primary License: CA #DW035996

All Addresses

MAILING

222 MEMORY LN

TURLOCK, CA, 953827272

(209) 667-9339

LOCATION

2020 STANDIFORD AVE STE B

MODESTO, CA, 953506530

(209) 525-9339