Individual
DR. DONG UK SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 571-8110
Mailing address
17508 66TH AVENUE CT E, PUYALLUP, WA 98375-2321
(253) 571-8110
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60772671
WA
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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