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1538806773
BO SHAN
NEWARK, NJ
NPI
1538806773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
BO SHAN DMD
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-943-9346
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Mailing Address
BO SHAN DMD
407 CROSS ST
HARRISON, NJ 07029-1209
Phone number:
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