Shin, Jungwon

Shin, Jungwon is an sole proprietor health care provider with primary practice located at 156 Quaker Rd , Queensbury NY 12804-1718. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shin, Jungwon can be contacted via phone (518) 793-2128.

Contact Information

Primary practice address
156 Quaker Rd Queensbury NY 12804-1718
Phone: (518) 793-2128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 50 049328 New York

Profile Details

NPI number 1922122498
LBN Legal business name Shin, Jungwon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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