Healthcare Provider Details

I. General information

NPI: 1750209557
Provider Name (Legal Business Name): LIN MOBILE DENTAL SERVICES, A PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4064 E LIVE OAK AVE UNIT 511
ARCADIA CA
91006-5762
US

IV. Provider business mailing address

4064 E LIVE OAK AVE UNIT 511
ARCADIA CA
91006-5762
US

V. Phone/Fax

Practice location:
  • Phone: 626-689-3900
  • Fax:
Mailing address:
  • Phone: 626-689-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID LIN JR.
Title or Position: CEO
Credential: DDS
Phone: 626-689-3900