Shine Dental Pllc

NPI #1457727109 in Freeport, Texas

Provider Information

NPI Number: 1457727109
Entity Type: Organization
Organization Name: Shine Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 17, 2015
Last Updated: Aug 17, 2015

Practice Location

Address: 1723 N AVENUE K
City: Freeport
State: Texas
ZIP Code: 77541-3605
Phone: (979) 233-1581

Authorized Official

Name: ROSS ROMERO
Title: PRESIDENT
Phone: (979) 233-1581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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