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NPI Code Detail

MEDICARE: JENN-YIH LIN DDS MS PLLC

MEDICARE: JENN-YIH LIN DDS MS PLLC
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
11223P0221XPediatric DentistryDE 00009733WA

General Provider Information

NPI Number : 1982057030
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENN-YIH LIN DDS MS PLLC
Provider Business Mailing Address
First Line : 10202 5TH AVE NE STE 101
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7472
Country : US
Telephone Number : 206-915-5090
Fax Number :
Provider Business Practice Location Address
First Line : 10202 5TH AVE NE STE 101
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7472
Country : US
Telephone Number : 206-915-5090
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JENN-YIH LIN
Credential : DDS
Telephone Number : 206-915-5090
Provider Enumeration Date : 07/13/2016
Last Update Date : 07/13/2016

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