(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003294117
Provider Name: KYLE DREW SHAW D.D.S
Entity Type: Individual
Taxonomy Code: 390200000X
Specialty: Student in an Organized Health Care Education/Training Program
License Number:
Most Important Dates
Enumeration Date: 05/08/2015
Last Updated: 12/11/2015
Provider Practice Location
114 SQUIRE HALL
BUFFALO
NY
142148006
Practice Location Phone/Fax
Phone: 7168293717
Fax:
Provider Mailing Location
114 SQUIRE HALL
BUFFALO
NY
142148006
Provider Mailing Phone/Fax
Phone: 7168293717
Fax: