Individual
DR. ROY D SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6135 N 35TH AVE STE 135, PHOENIX, AZ 85017-1952
(602) 973-0325
(602) 973-9704
Mailing address
8507 N 51ST AVE, GLENDALE, AZ 85302-4919
(602) 973-0325
(480) 454-7111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7163
AZ
1223G0001X
General Practice Dentistry
Primary
D7163
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228117
—
AZ
Enumeration date
03/19/2007
Last updated
01/26/2023
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