Organization
ANNA SHIN DDS, INC
Active
Other names
Modern Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HYUN WON ANNA SHIN DDS (DENTIST)
(201) 585-1838
Entity
Organization
Contact information
Practice address
422 MAIN ST FL 1, FORT LEE, NJ 07024-2861
(201) 585-1838
(201) 585-1719
Mailing address
422 MAIN ST FL 1, FORT LEE, NJ 07024-2861
(201) 585-1838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI0226700
NJ
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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