| Shine Family Dentistry,llc | |
|
10316b Baltimore National Pike Ellicott City MD 21042-2128 | |
| (410) 313-9676 | |
| Not Available |
| Full Name | Shine Family Dentistry,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10316b Baltimore National Pike, Ellicott City, Maryland |
| Authorized Official Name and Position | Shiney Cherian (OWNER) |
| Authorized Official Contact | 4103139676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Family Dentistry,llc 10316b Baltimore National Pike Ellicott City MD 21042-2128 Ph: () - | Shine Family Dentistry,llc 10316b Baltimore National Pike Ellicott City MD 21042-2128 Ph: (410) 313-9676 |
| NPI Number | 1730505413 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730505413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13844 (Maryland) | Primary |
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