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Organization
LIN HENDERSON DENTAL GROUP, PC
Active
Organization
LIN HENDERSON DENTAL GROUP, PC
Active
Other names
Henderson Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY C LIN DMD (OWNER DENTIST)
(702) 425-3697
Entity
Organization
Contact information
Practice address
545 MARKS ST, 100, HENDERSON, NV 89014-6500
(702) 425-3697
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
07/09/2015
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