Individual
YOON SHIN JAMIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
53 E 66TH ST, NEW YORK, NY 10065-6148
(917) 921-1396
Mailing address
22 N 6TH ST APT 5O, BROOKLYN, NY 11249-3079
(917) 921-1396
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
059412
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2016
Last updated
08/17/2020
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