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1578948725
JAE W SHIN
APO, AP
NPI
1578948725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 9094721-9921)
Enumeration Date
2015-07-29
Last Update Date
2021-04-20
Business Address
Dr. JAE W SHIN DDS
618TH DENTAL CO, CARIUS DENTAL CLINIC BLDG# P3020 ATTN: CREDENTIAL OFFICE
APO, AP 96271-5245
Phone number: 315-737-9186
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Mailing Address
Dr. JAE W SHIN DDS
618TH DENTAL CO, CARIUS DENTAL CLINIC BLDG# P3020 ATTN: CREDENTIAL OFFICE
APO, AP 96271
Phone number: 315-737-9186
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