Shiner Dental, Pllc | |
821 N Ave D Shiner TX 77984-0556 | |
(361) 594-2800 | |
(361) 594-4109 |
Full Name | Shiner Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 821 N Ave D, Shiner, Texas |
Authorized Official Name and Position | Melanie S Cowan (DENTIST/OWNER) |
Authorized Official Contact | 3615942800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shiner Dental, Pllc Po Box 556 821 N Ave D Shiner TX 77984-0556 Ph: (361) 594-2800 | Shiner Dental, Pllc 821 N Ave D Shiner TX 77984-0556 Ph: (361) 594-2800 |
NPI Number | 1912219007 |
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Provider Enumeration Date | 07/06/2010 |
Last Update Date | 10/07/2014 |
Identifier | Type | State | Issuer |
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1912219007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 22987 (Texas) | Primary |