Individual
DR. LAWRENCE J SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC DDS
Contact information
Practice address
1734 E 63RD ST, SUITE 520, KANSAS CITY, MO 64110
(816) 523-7788
(816) 444-1175
Mailing address
1734 E 63RD ST, SUITE 520, KANSAS CITY, MO 64110
(816) 523-7788
(816) 444-1175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012936
MO
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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