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Individual

LAUREN SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
136 EL CHICO TRL STE 101, WILLOW PARK, TX 76087-8864
(503) 502-0953
Mailing address
10513 BROOKSHIRE RD, FORT WORTH, TX 76126-2641

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
37162
TX

Other

Enumeration date
06/21/2016
Last updated
06/30/2021
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