Provider Demographics
NPI:1134351364
Name:LIN, HSIN YI (DDS)
Entity type:Individual
Prefix:
First Name:HSIN
Middle Name:YI
Last Name:LIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1320 N MCQUEEN RD APT 2031
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1427
Mailing Address - Country:US
Mailing Address - Phone:510-851-2412
Mailing Address - Fax:
Practice Address - Street 1:1320 N MCQUEEN RD APT 2031
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1427
Practice Address - Country:US
Practice Address - Phone:510-851-2412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA586651223G0001X
AZ79231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice