Provider Demographics
NPI:1508887639
Name:ROBERT T LING,DMD,INC
Entity Type:Organization
Organization Name:ROBERT T LING,DMD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRISIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-446-3101
Mailing Address - Street 1:623 W DUARTE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7346
Mailing Address - Country:US
Mailing Address - Phone:626-446-3101
Mailing Address - Fax:626-447-8171
Practice Address - Street 1:623 W DUARTE RD STE 3
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7346
Practice Address - Country:US
Practice Address - Phone:626-446-3101
Practice Address - Fax:626-447-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26200261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental