Shine Az Llc

LBN: Shine Az Llc
Shine Az Llc is an health care organization with primary practice located at 5940 W Union Hills Dr B 190, Glendale AZ 85308-1308. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Shine Az Llc can be contacted via phone (602) 314-4600, or through Bolesta, Jonathan via phone (503) 877-8194.

Contact Information

Primary practice address
5940 W Union Hills Dr B 190 Glendale AZ 85308-1308
Phone: (602) 314-4600
Fax: (602) 314-5506
Website:
Map and Directions
Authorized official contact:
Name: Bolesta, Jonathan Doctor of Dental Medicine (DMD)
Phone: (503) 877-8194

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 7387 Arizona

Profile Details

NPI number 1689973679
LBN Legal business name Shine Az Llc
DBA Doing business as
Authorized official Bolesta, Jonathan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2011
Last updated Mar 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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