| NPI | 1427322361 |
|---|---|
| Doing Business As | SHINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN DALE PATTEN Dentist 918-518-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 5990) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |