Individual
LINA ELTAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4021 MILLER RD, FLINT, MI 48507-1231
(650) 355-3126
Mailing address
4021 MILLER RD, FLINT, MI 48507-1231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS108197
CA
1223G0001X
General Practice Dentistry
2901602850
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901602850
LICENSE
MI
01
—
DDS108197
DENTAL LICENSE NUMBER
CA
Enumeration date
02/07/2023
Last updated
01/09/2026
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