Individual
HAYOUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 SOUTH FWY STE 2, FORT WORTH, TX 76115-1423
(682) 747-0001
Mailing address
4200 SOUTH FWY STE 2, FORT WORTH, TX 76115-1423
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38950
TX
Other
Enumeration date
01/24/2019
Last updated
04/13/2023
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