Diana Shaw, DDS
NPI 1619503208 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2603 Vinewood Ln
Pueblo, CO 81005 - Phone
- (719) 564-6464
- Organisation at this address
- Young At Heart Dentistry
Pawel R Bielecki, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-13
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 Colorado