Organization
JOCELYN Y. SHIN D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOCELYN SHIN DDS (OWNER)
(443) 824-3360
Entity
Organization
Contact information
Practice address
106 OLD PADONIA RD, COCKEYSVILLE, MD 21030-4968
(410) 628-0118
Mailing address
825 SAINT MARKS WALK, SUWANEE, GA 30024-1288
(443) 824-3360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15296
MD
1223G0001X
General Practice Dentistry
DN014217
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN014217
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
02/24/2018
Last updated
02/24/2018
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