Individual
DR. IRENE I LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2558 W 4TH ST, ONTARIO, OH 44906-1209
(419) 683-3131
Mailing address
2558 W 4TH ST, ONTARIO, OH 44906-1209
(419) 683-3131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21533
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2414006
—
OH
Enumeration date
12/13/2006
Last updated
12/06/2012
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