Individual
ALEX SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
409 2ND ST NE, PUYALLUP, WA 98372-3033
(253) 845-7611
Mailing address
25647 MARINE VIEW DR S, DES MOINES, WA 98198-8937
(206) 914-5990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61317186
WA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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