Individual
DR. JOO H SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2628 N BROAD ST, PHILADELPHIA, PA 19132-4015
(215) 874-0539
Mailing address
7221 OXFORD AVE, PHILADELPHIA, PA 19111-4026
(215) 704-1478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038124
PA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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