| NPI | 1548860414 |
|---|---|
| Doing Business As | SHORELINE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | CORY RITZAU C.E.O. 949-498-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |