Individual
KEVIN S. LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9870 HIBERT ST STE D12, SAN DIEGO, CA 92131-1091
(858) 566-3688
Mailing address
9870 HIBERT ST STE D12, SAN DIEGO, CA 92131-1091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857403
MA
1223P0300X
Periodontics
Primary
103835
CA
Other
Enumeration date
08/21/2016
Last updated
07/17/2019
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