Individual
NANCY LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7171 DELMAR BLVD STE 201, UNIVERSITY CITY, MO 63130-4334
(314) 721-5551
Mailing address
2029 RUTGER ST # B, SAINT LOUIS, MO 63104-2430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032084
IL
122300000X
Dentist
DN015189
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2019014164
MO
Other
Enumeration date
06/30/2015
Last updated
01/17/2020
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