SHINE AZ LLC

GLENDALE, AZ
NPI1689973679
Entity TypeOrganization
Authorized ContactJONATHAN BOLESTA
Owner
503-877-8194
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: AZ  7387)
Enumeration Date2011-03-16
Last Update Date2011-03-16
Business Address
SHINE AZ LLC
5940 W UNION HILLS DR B 190
GLENDALE, AZ 85308-1308
Phone number: 602-314-4600
Mailing Address
SHINE AZ LLC
5940 W UNION HILLS DR B 190
GLENDALE, AZ 85308-1308
Phone number: 602-314-4600
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