Individual
PETER SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 FOREST AVE STE 110, RICHMOND, VA 23230-1730
(804) 893-8692
(804) 285-1292
Mailing address
6900 FOREST AVE STE 110, RICHMOND, VA 23230-1730
(804) 893-8692
(804) 285-1292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000244
VA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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