Provider Demographics
NPI:1992159545
Name:LIN DDS, INC.
Entity type:Organization
Organization Name:LIN DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-581-3188
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No122300000XDental ProvidersDentistGroup - Single Specialty