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1356999510
JIN SUP SHIN
NEW YORK, NY
NPI
1356999510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: NY 060492)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
DR. JIN SUP SHIN DDS, MS
133 E 58TH ST STE 912
NEW YORK, NY 10022-1283
Phone number: 646-760-8028
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Mailing Address
DR. JIN SUP SHIN DDS, MS
4117 CRESCENT ST APT 4B
LONG ISLAND CITY, NY 11101-3862
Phone number: 917-971-3232
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