Organization
WACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SHIN DDS, MS (ORAL AND MAXILLOFACIAL SURGEON)
(510) 847-5112
Entity
Organization
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 100, LILBURN, GA 30047-2831
(770) 279-2020
Mailing address
410 BRAEDEN WAY, ALPHARETTA, GA 30009-3005
(510) 847-5112
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
01/11/2022
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