Individual
DR. JAEHEE L SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1600 LEBANON AVE, SUITE 104, BELLEVILLE, IL 62221-2491
(618) 239-6151
Mailing address
1600 LEBANON AVE, SUITE 104, BELLEVILLE, IL 62221-2491
(618) 239-6151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A-15414
IL
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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