| NPI | 1487245726 |
|---|---|
| Doing Business As | SHORELINE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | EMILY JANE HOLTON Executive Director 949-498-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |