Organization
YONG J SHIN D.D.S. INC,
Active
Other names
Hesperia Central Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG J SHIN DDS (CEO)
(760) 244-4844
Entity
Organization
Contact information
Practice address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
(760) 244-5002
Mailing address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
(760) 244-5002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49670
CALIFORNIA DENTIST LISENCE
CA
Enumeration date
10/28/2008
Last updated
10/28/2008
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