Itien Emily Shaw
Oral and Maxillofacial Surgeon
4170 Truxel Rd Ste C
Sacramento
, California 95834-3758
Itien Emily Shaw
Oral and Maxillofacial Surgeon
4170 Truxel Rd Ste C
Sacramento
, California 95834-3758
(916) 419-4582
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Itien Emily Shaw
- 4170 Truxel Rd Ste C
- Sacramento, CA
- Zip : 95834-3758
- Fax : (916) 419-4582
- Phone : (844) 673-9131
Second Address
- Itien Emily Shaw
- 4170 Truxel Rd Ste C
- Sacramento, CA
- Zip : 95834-3758
- Fax : (916) 419-4582
- Phone : (844) 673-9131
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DDS102837 | CA |
National Provider Identifier
| NPI | 1033409834 |
|---|---|
| Provider Name | Itien Emily Shaw |
| First Address | Sacramento, CA 95834-3758 |
| Second Address | Sacramento, CA 95834-3758 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2011 |
| Last Update Date | 16/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.