Individual
DANIEL SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Mailing address
1441 N 12TH ST FL 3, PHOENIX, AZ 85006-2837
(602) 521-5150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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