Individual
MICHAEL PHILIP SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1512 GRAND AVE, #102, GLENWOOD SPRINGS, CO 81601-3861
(970) 947-1273
(970) 928-0741
Mailing address
1512 GRAND AVE, #102, GLENWOOD SPRINGS, CO 81601-3861
(970) 947-1273
(970) 928-0741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8849
CO
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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