Provider Demographics
NPI:1629779756
Name:AFZALI & LIN DENTAL LIMITED PARTNERSHIP, RC LIFETIME DENTAL
Entity Type:Organization
Organization Name:AFZALI & LIN DENTAL LIMITED PARTNERSHIP, RC LIFETIME DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:909-363-6267
Mailing Address - Street 1:7365 CARNELIAN ST STE 135
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1100
Mailing Address - Country:US
Mailing Address - Phone:909-944-7308
Mailing Address - Fax:
Practice Address - Street 1:7365 CARNELIAN ST STE 135
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1100
Practice Address - Country:US
Practice Address - Phone:909-944-7308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental