Individual
KELLY SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
580 WOODBURY DR STE 300, WOODBURY, MN 55125-4949
(651) 731-1010
Mailing address
13910 45TH PL NE, SAINT MICHAEL, MN 55376-4564
(763) 442-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15360
MN
Other
Enumeration date
06/30/2023
Last updated
08/19/2025
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