| Shine Dental Arts Pllc | |
|
4950 E Elliot Rd Phoenix AZ 85044-4306 | |
| (480) 893-3072 | |
| Not Available |
| Full Name | Shine Dental Arts Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4950 E Elliot Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Anthony F.r. Quihuis (OWNER) |
| Authorized Official Contact | 4808933072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dental Arts Pllc 4950 E Elliot Rd Phoenix AZ 85044-4306 Ph: (480) 893-3072 | Shine Dental Arts Pllc 4950 E Elliot Rd Phoenix AZ 85044-4306 Ph: (480) 893-3072 |
| NPI Number | 1932628542 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932628542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8555 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | D8554 (Arizona) | Primary |
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