Organization
MDJBJ CORP
Active
Other names
Mini Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN SHIN DDS (OWNER)
(808) 989-1879
Entity
Organization
Contact information
Practice address
5900 NORTH FWY STE 105, HOUSTON, TX 77076-4041
(808) 989-1879
Mailing address
PO BOX 272571, HOUSTON, TX 77277-2571
(808) 989-1879
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26167
TX
Other
Enumeration date
02/16/2018
Last updated
08/27/2024
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