Individual
EUI SIK SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 N BROADWAY, BALTIMORE, MD 21213-1437
(443) 241-2516
Mailing address
11045 NASHVILLE CT, ELLICOTT CITY, MD 21042-2485
(312) 505-1629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8982
AZ
1223G0001X
General Practice Dentistry
Primary
0401417775
VA
1223G0001X
General Practice Dentistry
16102
MD
1223G0001X
General Practice Dentistry
30901
TX
1223G0001X
General Practice Dentistry
8982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144651
—
MD
05
—
349710901
—
TX
05
—
927285
—
AZ
Enumeration date
07/14/2014
Last updated
07/07/2022
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