DR. Krisan Shaw, D.D.S.

NPI #1730219239 in Ellsworth, Wisconsin

Provider Information

NPI Number
1730219239
Entity Type
Individual
Name
DR. Krisan Shaw, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 6, 2007
Last Updated
Mar 18, 2014

Practice Location

Address
501 W. LUCAS LANE
ZIP Code
54011
Phone
(715) 273-3700

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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