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Dr. Kenneth John Shaw, DDS
General Practice Dentistry in Cotati, California
NPI 1801988167

Kenneth John Shaw is a General Practice Dentistry based in Cotati, CA and is specialized in General Practice. Kenneth John Shaw practices in Cotati, CA and has the professional credentials of DDS. The NPI Number for Kenneth John Shaw is 1801988167 and holds a License No. 27067 (California).

The current practice location address for Kenneth John Shaw is 8125 La Plz, Cotati, CA and can be reached out via phone at 707-795-6424 and via fax at 707-795-4294.

Location: 8125 La Plz, Cotati, CA, 94931-4244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801988167
Provider Name
Kenneth John Shaw
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8125 La Plz, Cotati, CA, 94931-4244
Phone Number
707-795-6424
Fax Number
707-795-4294
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8125 La Plz
City
Cotati
State
California
Zip
94931-4244
Phone Number
707-795-6424
Fax Number
707-795-4294
person
Provider Business Mailing Address Details
Address
8125 La Plz
City
Cotati
State
California
Zip
94931-4244
Phone Number
707-795-6424
Fax Number
707-795-4294
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
27067 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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