BRYAN WONTAEK SHIN

FISHERS, IN
NPI1689362204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12014784A)
Enumeration Date2023-05-01
Last Update Date2025-07-17
Business Address
BRYAN WONTAEK SHIN
13760 LAKERIDGE DR
FISHERS, IN 46037-7608
Phone number: 317-588-2575
Mailing Address
BRYAN WONTAEK SHIN
9723 NORTHFORK DR
BRENTWOOD, TN 37027-8334
Phone number: 615-707-0330
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