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Organization
WAYNE SHIM DMD LLC
Active
Organization
WAYNE SHIM DMD LLC
Active
Other names
Wayne Shim DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE SHIM DMD (PRESIDENT)
(714) 383-4516
Entity
Organization
Contact information
Practice address
241 KING ST STE 220, NORTHAMPTON, MA 01060-2344
(413) 586-4200
Mailing address
13303 AVALON DR, NORTHBOROUGH, MA 01532-2173
(714) 383-4516
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20756
MA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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