Individual
YUNG LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41 HIGHLAND AVE, RANDOLPH, MA 02368-4509
(781) 826-8866
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40452
HARVARD PILGRIM
MA
01
—
X08348
BCBS - DENTAL
MA
Enumeration date
03/17/2006
Last updated
12/12/2011
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