Provider Demographics
NPI:1992723258
Name:LIN, KUEI-HUANG (DDS)
Entity type:Individual
Prefix:DR
First Name:KUEI-HUANG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3229
Mailing Address - Country:US
Mailing Address - Phone:626-457-5757
Mailing Address - Fax:626-576-8301
Practice Address - Street 1:622 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3229
Practice Address - Country:US
Practice Address - Phone:626-457-5757
Practice Address - Fax:626-576-8301
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA365761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice