NPI 1609218114

Shine Dental LLC

Organisation General Practice Dentistry Hobbs, NM

Practice location

Address: 2400 N Grimes St Suite B8, Hobbs, NM 88240-2132
Phone: (630) 788-3095
Mailing address: 2306 N Mulberry Ln, Hobbs, NM 88240-2545

Authorised official

Name: Srinivasa R Sirigiri
Title: Chairman
Phone: (630) 788-3095

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence NDO-0010 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1609218114
Entity type: Organization
NPI issued: 24 Jul 2013
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.