Organization · Type 2 NPI

Dental Shine Ii, P, C.

Dental Clinic/Center · Chicago, IL

NPI number 1790923274 Active

Practice location

4719 S Kedzie Ave
Chicago, IL 60632-3001

Call (773) 847-4444 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X019026154 (IL)

Dental Clinic/Center: Definition to come...

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About NPI 1790923274

Dental Shine Ii, P, C.'s National Provider Identifier is 1790923274, issued on Jan 22, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jan 22, 2009.