Individual
DR. DIANA LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
2630 HOLME AVE STE 103, PHILADELPHIA, PA 19152-3004
(215) 938-7860
Mailing address
105 LAKESIDE DRIVE, SOUTHAMPTON, PA 18966
(215) 938-7863
(215) 941-7836
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI02849600
NJ
Other
Enumeration date
04/16/2014
Last updated
07/26/2021
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