Individual
KYUNGSUP SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
219 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7287
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40155
IA
Other
Enumeration date
10/14/2013
Last updated
08/14/2015
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