NPI | 1255934691 |
---|---|
Doing Business As | R. SHAYNE CONINE, DDS |
Entity Type | Organization |
Authorized Contact | MELISSA BROWN Office Manager 501-676-2808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-11-18 |
Last Update Date | 2020-11-18 |