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Organization
SANG G SHIN, DDS, INC.
Active
Organization
SANG G SHIN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG GYU SHIN (CEO)
(951) 697-7750
Entity
Organization
Contact information
Practice address
12625 FREDERICK ST, F-4, MORENO VALLEY, CA 92553-5216
(951) 697-7750
(951) 697-7752
Mailing address
12625 FREDERICK ST, F-4, MORENO VALLEY, CA 92553-5216
(951) 697-7750
(951) 697-7752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59863
CA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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