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Organization
LIN MA DDS INC
Active
Organization
LIN MA DDS INC
Active
Parent organization
LIN MA DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIN MA DDS INC
Authorized official
ROSA IDALIA NORIEGA (OFFICE MANAGER)
(626) 966-4514
Entity
Organization
Contact information
Practice address
2145 W GARVEY AVE N, WEST COVINA, CA 91790-2086
(626) 966-4514
(626) 966-4515
Mailing address
2145 W GARVEY AVE N, WEST COVINA, CA 91790-2086
(626) 966-4514
(626) 966-4515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46201
CA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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