DR. Jicheol Shin, D.M.D.

NPI #1043490956 in Englewood Cliffs, New Jersey

Provider Information

NPI Number: 1043490956
Entity Type: Individual
Name: DR. Jicheol Shin, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 7, 2007
Last Updated: Feb 29, 2008

Practice Location

Address: 460 SYLVAN AVE # 1F
City: Englewood Cliffs
State: New Jersey
ZIP Code: 07632-2919
Phone: (201) 461-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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