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Organization
DENTAL IMPLANT SURGERY CENTER
Active
Organization
DENTAL IMPLANT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A SHINEDLING DDS, MS (PRINCIPAL SURGEON, PRESIDENT)
(972) 527-4867
Entity
Organization
Contact information
Practice address
7965 CUSTER ROAD, SUITE 114, PLANO, TX 75025-3155
(972) 527-4867
(972) 665-1818
Mailing address
7965 CUSTER ROAD, SUITE 114, PLANO, TX 75025-3155
(972) 527-4867
(972) 665-1818
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18760
TX
Other
Enumeration date
07/01/2006
Last updated
05/04/2009
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