Provider Demographics
NPI:1336262807
Name:LIN, STEVE C (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:C
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:17482 IRVINE BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3032
Mailing Address - Country:US
Mailing Address - Phone:714-547-6049
Mailing Address - Fax:714-547-8143
Practice Address - Street 1:17482 IRVINE BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3032
Practice Address - Country:US
Practice Address - Phone:714-547-6049
Practice Address - Fax:714-547-8143
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA462001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice