| Bryan Shin, DDS, PLLC | |
|
25052 104th Ave Se Ste E Kent WA 98030-6853 | |
| (253) 236-0384 | |
| Not Available |
| Full Name | Bryan Shin, DDS, PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25052 104th Ave Se Ste E, Kent, Washington |
| Authorized Official Name and Position | Bryan Iksu Shin (DENTIST) |
| Authorized Official Contact | 6143641695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Shin, DDS, PLLC 12721 192nd Pl E Bonney Lake WA 98391-8362 Ph: (614) 364-1695 | Bryan Shin, DDS, PLLC 25052 104th Ave Se Ste E Kent WA 98030-6853 Ph: (253) 236-0384 |
| NPI Number | 1487385175 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487385175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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