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Individual

DR. ALBERT SHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 837-1713
Mailing address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 837-1713

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D11729
OR
1223G0001X
General Practice Dentistry
12363998-9922
UT
1223G0001X
General Practice Dentistry
Primary
D11729
OR

Other

Enumeration date
07/16/2021
Last updated
01/10/2023
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