| NPI | 1942996012 |
|---|---|
| Doing Business As | SHINESTAR DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SOWJANYA BASIREDDYGARI President/Dentist 703-869-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |