| NPI | 1851738967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SHIN Owner 202-716-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC den1001175) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-02-15 |