MEDICARE: CHIN CHARNG LIN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	33326	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184745473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIN CHARNG LIN D.D.S.

Provider Business Mailing Address
First Line	:	1758 SIERRA LEONE AVE.
Second Line	:	#C
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-5837
Country	:	US
Telephone Number	:	626-964-6688
Fax Number	:	626-964-6681

Provider Business Practice Location Address
First Line	:	1758 SIERRA LEONE AVE
Second Line	:	#C
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-5837
Country	:	US
Telephone Number	:	626-964-6688
Fax Number	:	626-964-6681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/09/2007

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Directions to “ CHIN CHARNG LIN D.D.S.” Practice Location

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