| Shiny Studio Pllc | |
|
112 Industrial Ave Azle TX 76020-2934 | |
| (817) 270-3700 | |
| Not Available |
| Full Name | Shiny Studio Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 112 Industrial Ave, Azle, Texas |
| Authorized Official Name and Position | So Chung (OWNER) |
| Authorized Official Contact | 3478995601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiny Studio Pllc 708 Glen Abbey Dr Southlake TX 76092-1378 Ph: (347) 899-5601 | Shiny Studio Pllc 112 Industrial Ave Azle TX 76020-2934 Ph: (817) 270-3700 |
| NPI Number | 1073155784 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073155784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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