| Dr. Shin's Dental Office | |
|
17100 Bear Valley Rd Suite N Victorville CA 92395-5853 | |
| (760) 245-7083 | |
| Not Available |
| Full Name | Dr. Shin's Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17100 Bear Valley Rd, Victorville, California |
| Authorized Official Name and Position | Hyun Joon Shin (OWNER) |
| Authorized Official Contact | 7602457083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shin's Dental Office 17100 Bear Valley Rd Suite N Victorville CA 92395-5853 Ph: (760) 245-7083 | Dr. Shin's Dental Office 17100 Bear Valley Rd Suite N Victorville CA 92395-5853 Ph: (760) 245-7083 |
| NPI Number | 1174925770 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174925770 | NPI | - | NPPES |
| B44361-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44361 (California) | Primary |
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