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General NPI Number Information
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NPI Number | 1417981820
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Entity Type | Organization
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Legal Business Name | DR. LIN. DDS, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 622 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-3229
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Country | US
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Telephone | 626-457-5757
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Fax | 626-576-8301
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Provider Business Mailing Address
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Address Line | 622 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-3229
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Country | US
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Telephone | 626-457-5757
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Fax | 626-576-8301
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Authorized Official
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Title or Position | PRESIDENT.
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Name | MR. KUEI-HUANG LIN
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Credential | D.D.S.
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Telephone | 626-457-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 36576
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | #36576
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License Number State | CA
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