# J.LIN PERIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104527175
- **Authorized official:** JU YING LIN D.D.S (PEIODONTIST)
- **Authorized official phone:** (469) 657-5298

## Contact information

- **Practice address:** 452 TX-121 UNIT 150, COPPELL, TX 75019
- **Practice address phone:** (469) 453-6168
- **Mailing address:** 2025 LIVERPOOL DR. PLANO, PLANO, TX 75025-2025
- **Mailing address phone:** (469) 657-5298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 03/15/2023