Individual
MOSES SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
234 ESSEX ST, LAWRENCE, MA 01840-1549
(978) 937-4444
Mailing address
180 KENNEDY DR APT 209, MALDEN, MA 02148-3436
(617) 935-2060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1855150
DMD DENTIST
MA
Enumeration date
06/05/2009
Last updated
06/05/2009
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