Organization
SH SHIN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG HO SHIN (PRESIDENT)
(682) 554-5969
Entity
Organization
Contact information
Practice address
2625 OLD DENTON RD # 101, CARROLLTON, TX 75007-5125
(682) 554-5969
Mailing address
250 SILVERWOOD CIR, SOUTHLAKE, TX 76092-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23002
TX
1223P0300X
Periodontics
Primary
23002
TX
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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