| NPI | 1952260499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG UK SHIN Orthodontist 360-491-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-01-20 |