Individual
HSUAN-LI LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3646 E. MAIN STREET, WHITEHALL, OH 43213
(614) 231-8102
(614) 231-4801
Mailing address
983 BELLEFLOWER PL, GALION, OH 44833-2328
(614) 578-7721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260135218033
CARE SOURCE PROVIDER #
OH
05
—
2672004
—
OH
01
—
9184909
DORAL PROVIDER #
OH
Enumeration date
02/08/2007
Last updated
09/10/2008
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