Individual
DR. TONG PHILLIP SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
(480) 807-8100
(480) 325-8014
Mailing address
1101 DAVID AVE, PACIFIC GROVE, CA 93950-5407
(831) 601-3313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008238
AZ
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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