Individual
JAMES HYUNGJIN SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23321 EL TORO RD STE C, LAKE FOREST, CA 92630-4825
(949) 916-9798
Mailing address
23321 EL TORO RD STE C, LAKE FOREST, CA 92630-4825
(949) 916-9798
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104785
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2018
Last updated
08/15/2022
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