Individual
DR. JENNIFER SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
2824 ROGERS RD, WAKE FOREST, NC 27587-3895
(919) 453-6325
Mailing address
1304 STONEMILL FALLS DR, WAKE FOREST, NC 27587-9310
(703) 403-5419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00205793
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11788
NC
Other
Enumeration date
08/20/2020
Last updated
10/29/2023
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