Individual
DR. DEREK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10750 QUEENS BLVD STE 2, FOREST HILLS, NY 11375-4266
(718) 793-1777
Mailing address
1086 IRIS PL, WESTBURY, NY 11590-5609
(516) 724-3537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061160
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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