Most Relevant Information
Provider Data
| NPI Number: | 1003342825 |
| Provider Name: | YI MING SHEN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2017 |
| Last Updated: | 12/26/2017 |
Provider Practice Location
151 WESTCHESTER HALL
STONY BROOK
NY
11794
Practice Location Phone/Fax
| Phone: | 6314442557 |
| Fax: |
Provider Mailing Location
151 WESTCHESTER HALL
STONY BROOK
NY
11794
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |