Wayne S Lyn, Dmd, Inc | |
7855 Fay Ave Suite 260 La Jolla CA 92037-4265 | |
(858) 551-2400 | |
(858) 551-1072 |
Full Name | Wayne S Lyn, Dmd, Inc |
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Speciality | Dentist - Prosthodontics |
Location | 7855 Fay Ave, La Jolla, California |
Authorized Official Name and Position | Wayne S Lyn (OWNER/PRESIDENT) |
Authorized Official Contact | 8585512400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wayne S Lyn, Dmd, Inc 7855 Fay Ave Suite 260 La Jolla CA 92037-4265 Ph: (858) 551-2400 | Wayne S Lyn, Dmd, Inc 7855 Fay Ave Suite 260 La Jolla CA 92037-4265 Ph: (858) 551-2400 |
NPI Number | 1598992356 |
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Provider Enumeration Date | 06/18/2009 |
Last Update Date | 06/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598992356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 53923 (California) | Primary |
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