Organization
DR. JIN SUP SHIN, DDS, P.C.
Active
Other names
SmileWorks
Organization subpart
No
Provider details
NPI number
Authorized official
JIN SUP SHIN DDS (OWNER)
(917) 971-3232
Entity
Organization
Contact information
Practice address
30 CENTRAL PARK S RM 11D, NEW YORK, NY 10019-1649
(917) 971-3232
Mailing address
30 CENTRAL PARK S RM 11D, NEW YORK, NY 10019-1649
(917) 971-3232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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