Individual
YIE LIN UM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 AIRLINE DR, BOSSIER CITY, LA 71111-2003
(318) 742-9333
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7762
LA
1223G0001X
General Practice Dentistry
106824
CA
1223G0001X
General Practice Dentistry
8065
NV
Other
Enumeration date
08/11/2021
Last updated
06/15/2026
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