Individual
ELISA SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2402 24TH ST NW, ROCHESTER, MN 55901-0658
(845) 323-7248
Mailing address
2402 24TH ST NW, ROCHESTER, MN 55901-0658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13491
MN
Other
Enumeration date
01/03/2011
Last updated
06/01/2015
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