# JOANN SHIN DDS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laredo Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902239122
- **Authorized official:** JOANN SHIN DDS (PRESIDENT)
- **Authorized official phone:** (808) 989-1879

## Contact information

- **Practice address:** 2420 BOB BULLOCK LOOP, LAREDO, TX 78043
- **Practice address phone:** (808) 989-1879
- **Mailing address:** 302 BOB BULLOCK LOOP, \#15308, LAREDO, TX 78043-4265
- **Mailing address phone:** (808) 989-1879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26167 | TX | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013