Individual
DR. KO YU WU LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, ROOM 203, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4508
Mailing address
3302 GASTON AVE, ROOM 203, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4508
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11117503
—
TX
05
—
111177502
—
TX
01
—
18821
CDC CHIP
TX
Enumeration date
01/12/2007
Last updated
07/09/2007
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