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Organization

DENTAL GROUP OF DONG SHIN, DDS, INC.

Active
Other names
Fremont Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DONG-YOUN SHIN D.D.S. (PRESIDENT OR DIRECTOR)
(408) 499-8938
Entity
Organization

Contact information

Practice address
40803 FREMONT BLVD, FREMONT, CA 94538
(510) 933-0088
(510) 933-0080
Mailing address
40803 FREMONT BLVD, FREMONT, CA 94538
(510) 933-0088
(510) 933-0080

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57509
CA

Other

Enumeration date
05/04/2011
Last updated
05/07/2011
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