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Robert Shaw, D.D.S

NPI 1245326313 · on the registry since 2006 · sole proprietor

Practice

Address: 16498 Victor St
Victorville, CA 92395
Phone: (760) 245-1695
Fax: (760) 245-0957
Organisation at this address: Golden Age Medical Group, Inc
Ruth Hernandez M.D Medical Professional Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 California