Family Dentistry of Dr Jessica Shin, Pllc
NPI #1376906156 in Queensbury, New York
Provider Information
- NPI Number
- 1376906156
- Entity Type
- Organization
- Organization Name
- Family Dentistry of Dr Jessica Shin, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 30, 2016
- Last Updated
- Mar 30, 2016
Practice Location
- Address
- 365 AVIATION RD
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-2915
- Phone
- (518) 798-5696
Authorized Official
- Name
- JUNGWON SHIN, DDS
- Title
- OWNER/DENTIST
- Phone
- (518) 798-5696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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