Individual
KEVIN CHANG LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13107 40TH RD STE E36, FLUSHING, NY 11354-5205
(718) 888-1817
Mailing address
250 E 30TH ST APT 10A, NEW YORK, NY 10016-8298
(808) 381-1009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059990
NY
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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