Individual
DR. CHANGHEE JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
512 PALM CIRCLE, BUILDING T118, FT. SHAFTER, HI 96858
(808) 787-0184
Mailing address
512 PALM CIRCLE, BUILDING T118, FT. SHAFTER, HI 96858
(808) 787-0184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9029
KY
1223D0001X
Public Health Dentistry
Primary
1144
KY
Other
Enumeration date
09/02/2011
Last updated
03/10/2023
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