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Organization
HERCULES DENTAL CARE IN FREMONT
Active
Organization
HERCULES DENTAL CARE IN FREMONT
Active
Parent organization
DOUGLAS LIN DDS INC
Other names
Hercules Dental Care in Fremont
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOUGLAS LIN DDS INC
Authorized official
DR. DOUGLAS C LIN DDS (PRESIDENT)
(510) 741-1777
Entity
Organization
Contact information
Practice address
556 MOWRY AVE STE 203, FREMONT, CA 94536-4186
(510) 791-0600
Mailing address
500 ALFRED NOBEL DR STE 130, HERCULES, CA 94547-1839
(510) 741-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689904476
—
CA
Enumeration date
01/13/2019
Last updated
01/13/2019
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