Individual
DR. RACHELLE L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS PC
Contact information
Practice address
4620 JEFFERSON LANE, SUITE C, ALBUQUERQUE, NM 87109
(505) 888-3520
(505) 888-6553
Mailing address
4620 JEFFERSON LANE, SUITE C, ALBUQUERQUE, NM 87109
(505) 888-3520
(505) 888-6553
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1453
NM
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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