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1790804367
MALCOLM DREW SHABO
OOLTEWAH, TN
NPI
1790804367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 7631)
Enumeration Date
2007-03-28
Last Update Date
2013-02-25
Business Address
Dr. MALCOLM DREW SHABO D.D.S.
5958 SNOW HILL RD STE 144 PMB 204
OOLTEWAH, TN 37363-7833
Phone number: 423-894-4084
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Mailing Address
Dr. MALCOLM DREW SHABO D.D.S.
8307 WATERSBEND LN
OOLTEWAH, TN 37363-8705
Phone number:
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