BRIAN SHIN

EDWARDSVILLE, IL
NPI1427182658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.026744)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Dr. BRIAN SHIN DDS
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62026-0001
Phone number: 618-650-5062
Mailing Address
Dr. BRIAN SHIN DDS
13 RIVER REACH CT APT. R
ALTON, IL 62002-7395
Phone number: 312-493-7266