Lin, Marian Tzu Miao

Lin, Marian Tzu Miao is an individual health care provider with primary practice located at 1205 W. Renaissance Pkwy Unit 240, Rialto CA 92376. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lin, Marian Tzu Miao can be contacted via phone (909) 746-5000.

Contact Information

Primary practice address
1205 W. Renaissance Pkwy Unit 240 Rialto CA 92376
Fax: (310) 820-0408
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009812 Washington
Dental Providers / General Practice 1223G0001X DDS105814 California

Profile Details

NPI number 1275521072
LBN Legal business name Lin, Marian Tzu Miao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275521072 NPPES
Washington MEDICAID 5049036

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