Shaw, Quentin

Shaw, Quentin is an individual health care provider with primary practice located at 865 N Arizola Rd , Casa Grande AZ 85222-6011. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shaw, Quentin can be contacted via phone (520) 836-3446.

Contact Information

Primary practice address
865 N Arizola Rd Casa Grande AZ 85222-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4764 Arizona

Profile Details

NPI number 1891793519
LBN Legal business name Shaw, Quentin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 1st, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891793519 NPPES
Arizona Other 4764 LICENSE

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