Individual
GAN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 JFK BLVD, BAYONNE, NJ 07002-2208
(201) 858-3800
Mailing address
1216 JFK BLVD, BAYONNE, NJ 07002-2208
(201) 858-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02983400
NJ
Other
Enumeration date
03/30/2023
Last updated
10/24/2023
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