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NPI Code Detail

MEDICARE: SOPHIA LIN

MEDICARE: SOPHIA LIN
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
1122300000XDentistD012873AZ

General Provider Information

NPI Number : 1891572368
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA LIN
Provider Business Mailing Address
First Line : 14858 N FRANK LLOYD WRIGHT BLVD STE 165A
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-2216
Country : US
Telephone Number : 480-860-4455
Fax Number :
Provider Business Practice Location Address
First Line : 14858 N FRANK LLOYD WRIGHT BLVD STE 165A
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-2216
Country : US
Telephone Number : 480-860-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 06/26/2026

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Directions to “ SOPHIA LIN ” Practice Location

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