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: |