Individual
DR. MALCOLM DREW SHABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5958 SNOW HILL RD, STE 144 PMB 204, OOLTEWAH, TN 37363-7833
(423) 894-4084
(423) 894-4086
Mailing address
8307 WATERSBEND LN, OOLTEWAH, TN 37363-8705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7631
TN
Other
Enumeration date
03/28/2007
Last updated
02/25/2013
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