Provider Demographics
NPI:1881657310
Name:LIN, CHRISTINA HSIN-CHIEH (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:HSIN-CHIEH
Last Name:LIN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:201 N. LAURSEN ST.
Mailing Address - Street 2:SUITE B
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543
Mailing Address - Country:US
Mailing Address - Phone:951-765-0608
Mailing Address - Fax:951-765-0612
Practice Address - Street 1:201 N. LAURSEN ST.
Practice Address - Street 2:SUITE B
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543
Practice Address - Country:US
Practice Address - Phone:951-765-0608
Practice Address - Fax:951-765-0612
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53157122300000X, 1223P0221X
MD12742122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD53157Medicaid