Organization · Type 2 NPI
Shines LLC
Dental Clinic/Center · Ellicott City, MD
NPI number
1649928649
Active
Practice location
11085 Resort Rd Ste 400
Ellicott City, MD 21042-2071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1649928649
Shines LLC's National Provider Identifier is 1649928649, issued on Mar 17, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ellicott City, MD. The record was last updated on Mar 17, 2022.