| NPI | 1619349511 |
|---|---|
| Doing Business As | SHINE ON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHIVA MOHTASHAM Owner 510-857-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51976) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |