Organization
JAE WOOK SHIN, D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE WOOK SHIN DMD (OWNER)
(212) 243-1023
Entity
Organization
Contact information
Practice address
222 W 14TH ST # 7MEZZ, NEW YORK, NY 10011-7200
(212) 243-1023
(212) 243-2510
Mailing address
222 W 14TH ST # 7MEZZ, NEW YORK, NY 10011-7200
(212) 243-1023
(212) 243-2510
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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