Provider Demographics
NPI:1144365461
Name:LIN, HO-SHIANG D (DMD)
Entity type:Individual
Prefix:
First Name:HO-SHIANG
Middle Name:D
Last Name:LIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18516 YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4179
Mailing Address - Country:US
Mailing Address - Phone:714-693-7068
Mailing Address - Fax:714-693-7069
Practice Address - Street 1:18516 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4179
Practice Address - Country:US
Practice Address - Phone:714-693-7068
Practice Address - Fax:714-693-7069
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice