Organization
BRENT C LIN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT LIN (OWNER/PRESIDENT)
(925) 577-8779
Entity
Organization
Contact information
Practice address
39236 ARGONAUT WAY, FREMONT, CA 94538-1306
(510) 739-0701
(510) 739-0007
Mailing address
PO BOX 1137, SAN RAMON, CA 94583-1137
(925) 577-8779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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