Provider Demographics
NPI:1659436244
Name:EMILY LING DDS
Entity Type:Organization
Organization Name:EMILY LING DDS
Other - Org Name:CENTRAL FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-398-1107
Mailing Address - Street 1:9197 CENTRAL AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-1616
Mailing Address - Country:US
Mailing Address - Phone:909-398-1107
Mailing Address - Fax:909-398-1109
Practice Address - Street 1:9197 CENTRAL AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1616
Practice Address - Country:US
Practice Address - Phone:909-398-1107
Practice Address - Fax:909-398-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty