Organization
ELAINE T SHIM DDS PC
Active
Organization
ELAINE T SHIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE SHIM DDS (OWNER)
(702) 373-0221
Entity
Organization
Contact information
Practice address
26741 PORTOLA PKWY STE 1D, FOOTHILL RANCH, CA 92610-1762
(949) 581-4908
Mailing address
19011 ANTIOCH DR, IRVINE, CA 92603-3306
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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