Organization
SHINN KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI EDWARDS (OFFICE MANAGER)
(253) 649-0181
Entity
Organization
Contact information
Practice address
5122 OLYMPIC DR NW STE A101, GIG HARBOR, WA 98335-1768
(253) 649-0181
(253) 313-5892
Mailing address
5122 OLYMPIC DR NW, #A-101, GIG HARBOR, WA 98335-1767
(253) 649-0181
(253) 313-5892
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
05/01/2018
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