DR. Connie J. Shaw, D.D.S.

NPI #1154567956 in Eldridge, Iowa

Provider Information

NPI Number: 1154567956
Entity Type: Individual
Name: DR. Connie J. Shaw, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 29, 2008
Last Updated: Dec 29, 2008

Practice Location

Address: 5A LINCOLN AVE
City: Eldridge
State: Iowa
ZIP Code: 52748
Phone: (563) 285-8566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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