Individual
HYE YOUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 STATE ST, SPRINGFIELD, MA 01109
Mailing address
2432 ALBANY AVE APT 216, WEST HARTFORD, CT 06117-2538
(347) 260-9243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858711
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
06/29/2020
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