Individual
HYE RYEON SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
33533 W 12 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48331-3354
(888) 833-8441
Mailing address
9771 OLEANDER AVE, VIENNA, VA 22181-6037
(909) 806-0618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412040
VA
1223G0001X
General Practice Dentistry
54999
CA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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