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Organization
HYUN SHIN, DDS., INC.
Active
Organization
HYUN SHIN, DDS., INC.
Active
Other names
Dr. Shin's Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUN JOON SHIN DDS (OWNER)
(760) 245-7083
Entity
Organization
Contact information
Practice address
17100 BEAR VALLEY RD, SUITE N, VICTORVILLE, CA 92395-5853
(760) 245-7083
Mailing address
17100 BEAR VALLEY RD, SUITE N, VICTORVILLE, CA 92395-5853
(760) 245-7083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44361-01
DENTI-CAL
CA
Enumeration date
09/25/2014
Last updated
09/25/2014
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