Gary Shaw, D.D.S

NPI 1154587087 · on the registry since 2008 · sole proprietor

Practice

Address: 4103 Bridgeport Way W
Ste A
University Place, WA 98466
Phone: (253) 565-4474
Fax: (253) 565-6848
Organisation at this address: Bridgeport Dental Arts
Cossmedic Wellness And Aesthetics Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington