Individual
DR. DERRICK LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9522 POTRANCO RD, SAN ANTONIO, TX 78251-9601
(210) 675-9200
Mailing address
9903 GAZELLE FRST, SAN ANTONIO, TX 78251-4326
(361) 894-3941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30894
TX
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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