# LIN DENTAL GROUP INC

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

## Provider details

- **NPI number:** 1770924888
- **Authorized official:** DR. CHUN NAN LIN D.D.S., M.S. (DENTIST)
- **Authorized official phone:** (626) 286-7800

## Contact information

- **Practice address:** 4120 ROSEMEAD BLVD, ROSEMEAD, CA 91770-4404
- **Practice address phone:** (626) 286-7800
- **Practice address fax:** (626) 286-7600
- **Mailing address:** 4120 ROSEMEAD BLVD, ROSEMEAD, CA 91770-4404
- **Mailing address phone:** (626) 286-7800
- **Mailing address fax:** (626) 286-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 54515 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 09/25/2018