| Shine Dental Pc | |
|
4543a Bell Blvd Bayside NY 11361-3352 | |
| (718) 423-2248 | |
| Not Available |
| Full Name | Shine Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4543a Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Dustin Shin (PRESIDENT) |
| Authorized Official Contact | 7184232248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dental Pc 4543a Bell Blvd Bayside NY 11361-3352 Ph: (718) 423-2248 | Shine Dental Pc 4543a Bell Blvd Bayside NY 11361-3352 Ph: (718) 423-2248 |
| NPI Number | 1720262496 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720262496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050531 (New York) | Primary |
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