| NPI | 1114693793 |
|---|---|
| Doing Business As | SHINE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK J SHINE Dentist 607-221-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-09-30 |