Individual
STEPHANIE SUHYOUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1303 PACKARD ST STE 301, ANN ARBOR, MI 48104-3874
(734) 662-1591
(734) 662-1599
Mailing address
1303 PACKARD ST STE 301, ANN ARBOR, MI 48104-3874
(734) 662-1591
(734) 662-1599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901021314
MI
1223P0221X
Pediatric Dentistry
Primary
2901021314
MI
Other
Enumeration date
08/20/2015
Last updated
03/17/2018
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