Individual
EUNJUNG SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MDS
Contact information
Practice address
654 AVENUE C STE 202, BAYONNE, NJ 07002-3899
(201) 436-7777
Mailing address
127 MUNSEY RD, EMERSON, NJ 07630-1513
(201) 927-7144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02329900
NJ
122300000X
Dentist
9363084
NY
1223P0300X
Periodontics
Primary
057009
NJ
Other
Enumeration date
08/18/2006
Last updated
10/05/2016
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