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Organization
LI-YEN LIN DDS PA
Active
Organization
LI-YEN LIN DDS PA
Active
Other names
River Park Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
LIYEN LIN KEEN DDS (PRESIDENT)
(832) 595-2505
Entity
Organization
Contact information
Practice address
17320 W GRAND PKWY S STE B, SUGAR LAND, TX 77479-2667
(832) 595-2505
(832) 595-2290
Mailing address
17320 W GRAND PKWY S STE B, SUGAR LAND, TX 77479-2667
(832) 595-2505
(832) 595-2290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001727583
UNITED CONCORDIA
TX
Enumeration date
05/31/2005
Last updated
09/12/2024
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