Provider Demographics
NPI:1417981820
Name:DR. LIN. DDS, INC.
Entity Type:Organization
Organization Name:DR. LIN. DDS, INC.
Other - Org Name:LIN'S DENTAL CLINIC, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT.
Authorized Official - Prefix:MR
Authorized Official - First Name:KUEI-HUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-457-5757
Mailing Address - Street 1:622 W VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3229
Mailing Address - Country:US
Mailing Address - Phone:626-457-5757
Mailing Address - Fax:626-576-8301
Practice Address - Street 1:622 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3229
Practice Address - Country:US
Practice Address - Phone:626-457-5757
Practice Address - Fax:626-576-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA365761223G0001X
CA#365761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty