Individual
DR. JAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
14-20 MACDADE BLVD, COLLINGDALE, PA 19023-1821
(484) 427-4663
Mailing address
16 S PENNELL RD, MEDIA, PA 19063-5715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040067
PA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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