Individual
TIMOTHY J O'SHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
755 COMMERCE DR, SUITE 520, DECATUR, GA 30030-2627
(404) 373-7818
(404) 638-5115
Mailing address
755 COMMERCE DR, SUITE 520, DECATUR, GA 30030-2627
(404) 373-7818
(404) 638-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008072
GA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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