| Sh Shin Dmd Pc | |
|
2625 Old Denton Rd # 101 Carrollton TX 75007-5125 | |
| (682) 554-5969 | |
| Not Available |
| Full Name | Sh Shin Dmd Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2625 Old Denton Rd # 101, Carrollton, Texas |
| Authorized Official Name and Position | Sang Ho Shin (PRESIDENT) |
| Authorized Official Contact | 6825545969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sh Shin Dmd Pc 250 Silverwood Cir Southlake TX 76092-8555 Ph: () - | Sh Shin Dmd Pc 2625 Old Denton Rd # 101 Carrollton TX 75007-5125 Ph: (682) 554-5969 |
| NPI Number | 1053649053 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 12/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053649053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23002 (Texas) | Secondary |
| 1223P0300X | Dentist - Periodontics | 23002 (Texas) | Primary |
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