| NPI | 1174165799 |
|---|---|
| Doing Business As | SHEA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL SHEA Owner 225-344-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |