NPI | 1487837472 |
---|---|
Doing Business As | SHEA DENTAL |
Entity Type | Organization |
Authorized Contact | ALAN GLEN SIEGEL President 602-882-1864 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3816) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2023-06-22 |