Individual
CALVIN TAO LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 N KESWICK AVE # B, GLENSIDE, PA 19038-4804
(215) 885-4252
Mailing address
230 N KESWICK AVE, GLENSIDE, PA 19038-4804
(215) 885-4252
(215) 885-7487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS041810
PA STATE LICENSE
PA
Enumeration date
04/12/2018
Last updated
12/07/2022
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