ANNELISE SHAW

FORT CAMPBELL, ZZ
NPI1568346674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TN  12913)
Enumeration Date2025-08-01
Last Update Date2025-08-01
Business Address
ANNELISE SHAW DMD
2441 21ST ST
FORT CAMPBELL, ZZ
Phone number: 270-798-8751
Mailing Address
ANNELISE SHAW DMD
820 S GATEWAY PLAZA BLVD UNIT 1401
CLARKSVILLE, TN 37043-2779
Phone number: 310-989-0323