Organization · Type 2 NPI

Shine Az LLC

Dental Clinic/Center · Glendale, AZ

NPI number 1689973679 Active

Practice location

5940 W Union Hills Dr, B 190
Glendale, AZ 85308-1308

Call (602) 314-4600 Map

Fax (602) 314-5506

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X7387 (AZ)

Dental Clinic/Center: Definition to come...

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About NPI 1689973679

Shine Az LLC's National Provider Identifier is 1689973679, issued on Mar 16, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glendale, AZ. The record was last updated on Mar 16, 2011.