Organization
SHINES LLC
Active
Other names
Ace Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUI SHIN (OWNER)
(312) 505-1629
Entity
Organization
Contact information
Practice address
11085 RESORT RD STE 400, ELLICOTT CITY, MD 21042-2071
(312) 505-1629
Mailing address
11085 RESORT RD STE 400, ELLICOTT CITY, MD 21042-2071
(312) 505-1629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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