| Marian T Lin Dds P S Inc | |
|
1620 Duvall Ave Ne Ste 200 Renton WA 98059-3975 | |
| (425) 271-7121 | |
| (425) 271-7130 |
| Full Name | Marian T Lin Dds P S Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1620 Duvall Ave Ne, Renton, Washington |
| Authorized Official Name and Position | Marian T Lin (PRESIDENT/OWNER) |
| Authorized Official Contact | 4252717121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian T Lin Dds P S Inc 1620 Duvall Ave Ne Ste 200 Renton WA 98059-3975 Ph: (425) 271-7121 | Marian T Lin Dds P S Inc 1620 Duvall Ave Ne Ste 200 Renton WA 98059-3975 Ph: (425) 271-7121 |
| NPI Number | 1619333853 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619333853 | NPI | - | NPPES |
| 5049036 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00009812 (Washington) | Primary |
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