Provider Demographics
NPI:1851471635
Name:LIN, MICHELLE I-HSUAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:I-HSUAN
Last Name:LIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14315 CYPRESS ROSEHILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4960
Mailing Address - Country:US
Mailing Address - Phone:281-213-8587
Mailing Address - Fax:
Practice Address - Street 1:15914 FLOWERCROFT CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4960
Practice Address - Country:US
Practice Address - Phone:281-213-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry