NPI | 1790447118 |
---|---|
Doing Business As | SHINE DENTAL |
Entity Type | Organization |
Authorized Contact | DHAVAL THAKKAR Owner / Dentist 903-360-8657 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-13 |
Last Update Date | 2021-10-13 |