Individual
DR. CONNIE J. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5A LINCOLN AVE, ELDRIDGE, IA 52748
(563) 285-8566
Mailing address
5A LINCOLN AVE, ELDRIDGE, IA 52748
(563) 285-8566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6190
IA
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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