Organization
LIN HENDERSON DENTAL GROUP, PC
Active
Other names
Henderson Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY C LIN DMD (OWNER DENTIST)
(702) 425-3697
Entity
Organization
Contact information
Practice address
545 MARKS ST, 100, HENDERSON, NV 89014-6500
(702) 425-3697
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
07/09/2015
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