| NPI | 1407045974 |
|---|---|
| Doing Business As | DANIE J SCHELLHASE DDS MS KAREN E KOEHLER DDS MS KEVIN W SHAUGHNESSY D |
| Entity Type | Organization |
| Authorized Contact | DANIEL J SCHELLHASE President 904-388-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 6127) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN16375) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN16801) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2010-03-24 |