MEDICARE: MICHAEL CHIH-SHUN 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	122300000X	Dentist	48822	CA

General Provider Information

NPI Number	:	1659564466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CHIH-SHUN LIN D.D.S.

Provider Business Mailing Address
First Line	:	333 W EL CAMINO REAL STE 290
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-8127
Country	:	US
Telephone Number	:	408-730-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W EL CAMINO REAL STE 290
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-8127
Country	:	US
Telephone Number	:	408-730-5252
Fax Number	:

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

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	08/24/2007

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