Provider Demographics
NPI:1356522742
Name:LIN, YANG (DDS)
Entity type:Individual
Prefix:DR
First Name:YANG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:YANG
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1788 SIERRA LEONE AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3686
Mailing Address - Country:US
Mailing Address - Phone:626-581-3188
Mailing Address - Fax:
Practice Address - Street 1:1788 SIERRA LEONE AVE STE 208
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3686
Practice Address - Country:US
Practice Address - Phone:626-581-3188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist