Individual
SHI YIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
159 W HOSPITALITY LN, SAN BERNARDINO, CA 92408-3348
(909) 558-4960
Mailing address
26000 W LUGONIA AVE APT 4424, REDLANDS, CA 92374-5111
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401417843
VA
1223P0300X
Periodontics
Primary
306
CA
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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