Provider Demographics
NPI:1881045136
Name:LIN, WEN-MEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:WEN-MEI
Middle Name:
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 1:20109 AURORA AVE N STE D
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3127
Mailing Address - Country:US
Mailing Address - Phone:206-800-6468
Mailing Address - Fax:
Practice Address - Street 1:20109 AURORA AVE N STE D
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3127
Practice Address - Country:US
Practice Address - Phone:206-800-6468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE606651001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice