JAE W SHIN

APO, AP
NPI1578948725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  9094721-9921)
Enumeration Date2015-07-29
Last Update Date2021-04-20
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
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