Individual
DR. ELIZABETH MIL-JIN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12165 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-5151
(410) 651-4682
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13635
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
12/09/2005
Last updated
01/19/2012
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