Individual
CHRIS C LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1448 S. SAN GABRIEL BLVD, SAN GABRIEL, CA 91776
(626) 288-2000
Mailing address
7119 KENTWOOD AVE, LOS ANGELES, CA 90045
(310) 641-6375
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40847
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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