Provider Demographics
NPI:1790761674
Name:LIN, CHIN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIN
Middle Name:R
Last Name:LIN
Suffix:
Gender:M
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:FLUGPLATZ ERBENHEIM BLDG 1040
Mailing Address - Street 2:
Mailing Address - City:WIESBADEN
Mailing Address - State:HESSEN
Mailing Address - Zip Code:65205
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FLUGPLATZ ERBENHEIM BLDG 1040
Practice Address - Street 2:
Practice Address - City:WIESBADEN
Practice Address - State:HESSEN
Practice Address - Zip Code:65205
Practice Address - Country:DE
Practice Address - Phone:063719-464-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510281223P0221X
IL019-0232641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry