Daniel Robert Shaw, DDS
Dentist, General Practice in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1952777096
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1952777096
- Entity type
- Individual (NPI-1)
- Name
- Daniel Robert Shaw
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 64692 | CA | Yes |
Practice location
25522 Marguerite Pkwy Ste 100Mission Viejo, CA 92692-2920
Phone 714-801-4119
Mailing address
25522 Marguerite Pkwy Ste 100Mission Viejo, CA 92692-2920
Phone 714-801-4119
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All 93 General Practice Dentistry providers in Mission Viejo · All 2,975 providers in Mission Viejo
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