Organization
JOANN SHIN DDS CORPORATION
Active
Other names
Laredo Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN SHIN DDS (PRESIDENT)
(808) 989-1879
Entity
Organization
Contact information
Practice address
2420 BOB BULLOCK LOOP, LAREDO, TX 78043
(808) 989-1879
Mailing address
302 BOB BULLOCK LOOP, #15308, LAREDO, TX 78043-4265
(808) 989-1879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26167
TX
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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