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Individual

ERIC LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8123
Mailing address
2901 INDIANA BLVD APT 480, DALLAS, TX 75226-1527
(650) 380-2658

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35460
TX

Other

Enumeration date
07/06/2019
Last updated
02/18/2020
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