Provider Demographics
NPI:1225267925
Name:AL-BITAR, LINA Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:Y
Last Name:AL-BITAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 W HISTORIC MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3556
Mailing Address - Country:US
Mailing Address - Phone:414-383-2426
Mailing Address - Fax:
Practice Address - Street 1:710 W HISTORIC MITCHELL ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3556
Practice Address - Country:US
Practice Address - Phone:414-383-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009870A122300000X
IL019.028308122300000X
WI7137-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist