| NPI | 1750999736 |
|---|---|
| Other Name | LUKE SHIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS043526) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 17006) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-08-14 |