Provider Demographics
NPI:1013252972
Name:LIN & HUANG-GAO DENTAL, INC.
Entity Type:Organization
Organization Name:LIN & HUANG-GAO DENTAL, INC.
Other - Org Name:EL CAMINO DENTAL, PRACTICE OF LIN & HUANG-GAO DENTAL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-967-1203
Mailing Address - Street 1:100 W EL CAMINO REAL
Mailing Address - Street 2:SUITE 78
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2664
Mailing Address - Country:US
Mailing Address - Phone:650-967-1203
Mailing Address - Fax:650-967-1208
Practice Address - Street 1:100 W EL CAMINO REAL
Practice Address - Street 2:SUITE 78
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2664
Practice Address - Country:US
Practice Address - Phone:650-967-1203
Practice Address - Fax:650-967-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty