Individual
DR. ANNELIESE TAYLOR HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
150 2ND ST, MELBA, ID 83641-5199
(208) 495-1011
Mailing address
694 S IRON SPRINGS AVE, KUNA, ID 83634-1973
(614) 506-8579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-022307
OH
122300000X
Dentist
Primary
D-4059
ID
Other
Enumeration date
04/16/2007
Last updated
08/20/2007
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