| Shine Dentistry | |
|
649 W Imperial Hwy Ste H Brea CA 92821-3838 | |
| (714) 529-1232 | |
| (714) 529-1208 |
| Full Name | Shine Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 649 W Imperial Hwy Ste H, Brea, California |
| Authorized Official Name and Position | Chris Chong (MANAGER) |
| Authorized Official Contact | 6263733625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dentistry 649 W Imperial Hwy Ste H Brea CA 92821-3838 Ph: (714) 529-1232 | Shine Dentistry 649 W Imperial Hwy Ste H Brea CA 92821-3838 Ph: (714) 529-1232 |
| NPI Number | 1114646940 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114646940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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