Jae Myung Shim DDS

NPI 1669504221 - Dentist - 1223G0001X

NPI Details
NPI 1669504221
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 GRAND AVE
WAUKEGAN IL, 60085-3582, US
Phone (847) 336-4180
Fax (847) 336-4190
Business Location
1800 GRAND AVE
WAUKEGAN IL, 60085-3582, US
Phone (847) 336-4180
Fax (847) 336-4190
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Jae Myung Shim DDS NPI is 1669504221, taxonomy code is 1223G0001X Jae Myung Shim DDS physically located at 1800 Grand Ave, Waukegan IL, 60085-3582. NPI Number Jae Myung Shim DDS has the Individual type.

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1669504221 NPI number is provided on an as is basis without warranty of any kind. 1669504221 is maintained by the National Plan & Provider Enumeration System. The contents of Jae Myung Shim DDS are for informational purposes only.