Individual
DR. GRACE EUN JIN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4823 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1432
(718) 281-1282
(718) 281-2229
Mailing address
4823 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1432
(718) 281-1282
(718) 281-2229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049968
NY
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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