Organization
SHINY STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SO CHUNG (OWNER)
(347) 899-5601
Entity
Organization
Contact information
Practice address
112 INDUSTRIAL AVE, AZLE, TX 76020-2934
(817) 270-3700
Mailing address
708 GLEN ABBEY DR, SOUTHLAKE, TX 76092-1378
(347) 899-5601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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