Organization
DANIEL R SHEA DDS LLC
Active
Other names
Shea Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHEA DDS (OWNER)
(225) 344-0391
Entity
Organization
Contact information
Practice address
1930 PERKINS RD, BATON ROUGE, LA 70808-1483
(225) 344-0391
Mailing address
1930 PERKINS RD, BATON ROUGE, LA 70808-1483
(225) 344-0391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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