Jocelyn Y. Shin D.d.s., Llc | |
106 Old Padonia Rd Cockeysville MD 21030-4968 | |
(410) 628-0118 | |
Not Available |
Full Name | Jocelyn Y. Shin D.d.s., Llc |
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Speciality | Dentist - General Practice |
Location | 106 Old Padonia Rd, Cockeysville, Maryland |
Authorized Official Name and Position | Jocelyn Shin (OWNER) |
Authorized Official Contact | 4438243360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jocelyn Y. Shin D.d.s., Llc 825 Saint Marks Walk Suwanee GA 30024-1288 Ph: (443) 824-3360 | Jocelyn Y. Shin D.d.s., Llc 106 Old Padonia Rd Cockeysville MD 21030-4968 Ph: (410) 628-0118 |
NPI Number | 1386145373 |
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Provider Enumeration Date | 02/24/2018 |
Last Update Date | 02/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386145373 | NPI | - | NPPES |
DN014217 | Other | GA | GEORGIA BOARD OF DENTISTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15296 (Maryland) | Primary |
1223G0001X | Dentist - General Practice | DN014217 (Georgia) | Secondary |
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Vernon F. Ottenritter, Jr. D.d.s., Pa. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Old Padonia Rd, Cockeysville, MD 21030 Phone: 410-628-0118 Fax: 410-628-0357 |