| Shine Dental Care | |
|
950 E Belt Line Rd Suite 130 Cedar Hill TX 75104-2422 | |
| (972) 293-8033 | |
| (972) 293-8028 |
| Full Name | Shine Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 950 E Belt Line Rd, Cedar Hill, Texas |
| Authorized Official Name and Position | Tonjolique James Jackson (OWNER) |
| Authorized Official Contact | 9722938033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dental Care 950 E Belt Line Rd Suite 130 Cedar Hill TX 75104-2422 Ph: (972) 293-8033 | Shine Dental Care 950 E Belt Line Rd Suite 130 Cedar Hill TX 75104-2422 Ph: (972) 293-8033 |
| NPI Number | 1336496819 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336496819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23084 (Texas) | Primary |
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