Organization
WAYNE SHIM DMD LLC
Active
Other names
Wayne Shim DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE SHIM DMD (PRESIDENT)
(714) 383-4516
Entity
Organization
Contact information
Practice address
241 KING ST STE 220, NORTHAMPTON, MA 01060-2344
(413) 586-4200
Mailing address
13303 AVALON DR, NORTHBOROUGH, MA 01532-2173
(714) 383-4516
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20756
MA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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