Shaw, Itien Emily

Shaw, Itien Emily is an sole proprietor health care provider with primary practice located at 4170 Truxel Rd Ste C , Sacramento CA 95834-3758. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Shaw, Itien Emily can be contacted via phone (844) 673-9131.

Contact Information

Primary practice address
4170 Truxel Rd Ste C Sacramento CA 95834-3758
Phone: (844) 673-9131
Fax: (916) 419-4582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS102837 California

Profile Details

NPI number 1033409834
LBN Legal business name Shaw, Itien Emily
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2011
Last updated May 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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