Individual
DR. SI SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
751 OAK ST STE 601, JACKSONVILLE, FL 32204-3373
(904) 354-4031
Mailing address
4929 SKYWAY DR APT 3312, JACKSONVILLE, FL 32246-0040
(917) 502-8308
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN25511
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/02/2017
Last updated
07/14/2021
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