| Lin Ma Dds Inc | |
|
1433 W Merced Ave Ste 204 West Covina CA 91790-3402 | |
| (626) 966-4514 | |
| Not Available |
| Full Name | Lin Ma Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1433 W Merced Ave Ste 204, West Covina, California |
| Authorized Official Name and Position | Rosa Idalia Noriega (OFFICE MENEGER) |
| Authorized Official Contact | 6269664514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lin Ma Dds Inc 1433 W Merced Ave Ste 204 West Covina CA 91790-3402 Ph: (626) 966-4514 | Lin Ma Dds Inc 1433 W Merced Ave Ste 204 West Covina CA 91790-3402 Ph: (626) 966-4514 |
| NPI Number | 1134329170 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134329170 | NPI | - | NPPES |
| G9279001 | Medicaid | CA | BILLING PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46201 (California) | Primary |
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