Jennifer Shaw D.D.S.

NPI 1619193778 - Dentist - 122300000X

NPI Details
NPI 1619193778
Gender Female
Enumeration Date 04/17/2007
Last Updated 09/04/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
11700 MUKILTEO SPEEDWAY
#502
MUKILTEO WA, 98275-5432, US
Phone (425) 290-5573
Fax
Business Location
11700 MUKILTEO SPEEDWAY
MUKILTEO WA, 98275-5432, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019025522
Remove 1619193778 NPI Number
 

According to our database, Dr. Jennifer Shaw D.D.S. NPI is 1619193778, taxonomy code is 122300000X and license number is 019025522, license state is located at Illinois. Jennifer Shaw D.D.S. physically located at 11700 Mukilteo Speedway, Mukilteo WA, 98275-5432. NPI Number Jennifer Shaw D.D.S. has the Individual type.

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1619193778 NPI number is provided on an as is basis without warranty of any kind. 1619193778 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Shaw D.D.S. are for informational purposes only.