Individual
DR. JAI WOOK SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
790 NORTHERN BLVD, ABINGTON PROFESSIONAL PLAZA SUITE L, SOUTH ABINGTON TOWNSHIP, PA 18411-8799
(570) 586-9717
(570) 586-5446
Mailing address
790 NORTHERN BLVD, ABINGTON PROFESSIONAL PLAZA SUITE L, SOUTH ABINGTON TOWNSHIP, PA 18411-8799
(570) 586-9717
(570) 586-5446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038894
PA
Other
Enumeration date
09/06/2011
Last updated
08/16/2012
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