| Shine Dental Pllc | |
|
1723 N Avenue K Freeport TX 77541-3605 | |
| (979) 233-1581 | |
| Not Available |
| Full Name | Shine Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1723 N Avenue K, Freeport, Texas |
| Authorized Official Name and Position | Ross Romero (PRESIDENT) |
| Authorized Official Contact | 9792331581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dental Pllc 1723 N Avenue K Freeport TX 77541-3605 Ph: () - | Shine Dental Pllc 1723 N Avenue K Freeport TX 77541-3605 Ph: (979) 233-1581 |
| NPI Number | 1457727109 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457727109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22490 (Texas) | Primary |
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