Most Relevant Information
Provider Data
| NPI Number: | 1003492281 |
| Provider Name: | SHAWN MATHEW DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2021 |
| Last Updated: | 02/27/2024 |
Provider Practice Location
952 HARBINS RD STE 401
DACULA
GA
300192824
Practice Location Phone/Fax
| Phone: | 4702683056 |
| Fax: |
Provider Mailing Location
952 HARBINS RD STE 401
DACULA
GA
300192824
Provider Mailing Phone/Fax
| Phone: | 4702683056 |
| Fax: |