Organization
S.R. SHIELDS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R SHIELDS (DOCTOR)
(928) 782-3839
Entity
Organization
Contact information
Practice address
1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
(928) 782-3839
(928) 329-9029
Mailing address
1325 W 16TH ST, SUITE 4, YUMA, AZ 85364-4496
(928) 782-3839
(928) 329-9029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2351
AZ
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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