Individual
ELISHA LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 S GRAND AVE STE 204, LOS ANGELES, CA 90012-3035
(213) 863-9464
Mailing address
332 W PEBBLE BEACH LN, AZUSA, CA 91702-1440
(808) 392-1646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107964
CA
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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