Individual
AHRAM SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03285
RI
122300000X
Dentist
DN1856775
MA
Other
Enumeration date
11/17/2014
Last updated
10/26/2015
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