Organization
SHIN PROSTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONGJIN SHIN DMD (DENTIST / OWNER)
(857) 540-2066
Entity
Organization
Contact information
Practice address
5904 HUBBARD DR, NORTH BETHESDA, MD 20852-4823
(301) 377-8306
(240) 387-6945
Mailing address
5904 HUBBARD DR, NORTH BETHESDA, MD 20852-4823
(301) 377-8306
(240) 387-6945
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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