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1932367596
KIWON KENNETH SHIN
GREENVALE, NY
NPI
1932367596
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 039926)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
Dr. KIWON KENNETH SHIN DDS
29 NORTHERN BLVD
GREENVALE, NY 11548-1320
Phone number: 516-625-2929
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Mailing Address
Dr. KIWON KENNETH SHIN DDS
29 NORTHERN BLVD
GREENVALE, NY 11548-1320
Phone number: 516-625-2929
Copy
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