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Individual

DR. JUNGWON SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
156 QUAKER RD, QUEENSBURY, NY 12804-1718
(518) 793-2128
Mailing address
23 WINNERS CIR, SARATOGA SPRINGS, NY 12866-4747
(518) 306-4274

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50 049328
NY

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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