NPI | 1336496819 |
---|---|
Doing Business As | SHINE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TONJOLIQUE JAMES JACKSON Owner 972-293-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 23084) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |