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1194934620
MOO SU SHIN
VAN NUYS, CA
NPI
1194934620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 37162)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- MOO SU SHIN D.D.S.
7112 VAN NUYS BLVD 205
VAN NUYS, CA 91405-3086
Phone number: 818-787-9996
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Mailing Address
-- MOO SU SHIN D.D.S.
7112 VAN NUYS BLVD 205
VAN NUYS, CA 91405-3086
Phone number: 818-787-9996
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