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NPI Code Detail

MEDICARE: MICHAEL C. LIN, DDS, INC.

MEDICARE: MICHAEL C. LIN, DDS, INC.
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
11223G0001XGeneral Practice Dentistry48822CA

General Provider Information

NPI Number : 1790015758
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL C. LIN, DDS, INC.
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 : CEO
Name : DR. MICHAEL C LIN
Credential : D.D.S.
Telephone Number : 408-730-5252
Provider Enumeration Date : 01/13/2010
Last Update Date : 01/13/2010

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Directions to “MICHAEL C. LIN, DDS, INC. ” Practice Location

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