THEA DIANE SHIVE

MANHASSET, NY
NPI1093797615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  038527)
Enumeration Date2005-11-18
Last Update Date2007-07-08
Business Address
Dr. THEA DIANE SHIVE D.D.S.
565 PLANDOME RD #141
MANHASSET, NY 11030-1945
Phone number: 516-330-4430
Mailing Address
Dr. THEA DIANE SHIVE D.D.S.
565 PLANDOME RD #141
MANHASSET, NY 11030-1945
Phone number: 516-330-4430