# DENTAL GROUP OF DONG SHIN, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fremont Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336431709
- **Authorized official:** DONG-YOUN SHIN D.D.S. (PRESIDENT OR DIRECTOR)
- **Authorized official phone:** (408) 499-8938

## Contact information

- **Practice address:** 40803 FREMONT BLVD, FREMONT, CA 94538
- **Practice address phone:** (510) 933-0088
- **Practice address fax:** (510) 933-0080
- **Mailing address:** 40803 FREMONT BLVD, FREMONT, CA 94538
- **Mailing address phone:** (510) 933-0088
- **Mailing address fax:** (510) 933-0080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 57509 | CA | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 05/07/2011