| NPI | 1104090307 |
|---|---|
| Doing Business As | SHINE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LYNSE BRINEY President 773-503-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026699) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2023-10-18 |