| NPI | 1700562881 |
|---|---|
| Doing Business As | SHEA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA RAIFFE Dentist 602-526-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |