Individual
DR. FREDERICK LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4022 E GREENWAY RD STE 12, PHOENIX, AZ 85032-4799
(602) 457-4788
Mailing address
4314 E LONE CACTUS DR, PHOENIX, AZ 85050-6888
(925) 262-3069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009245
AZ
1223G0001X
General Practice Dentistry
D009245
AZ
Other
Enumeration date
06/28/2015
Last updated
09/02/2020
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