Organization Name: | EDWARD A. LYNN, D.D.S., P.C. |
NPI Number: | 1023218823 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD ARTHUR LYNN (DENTIST) |
Mailing Address: | 466 E Calaveras Blvd Ste A Milpitas |
State: | CA US |
Postal Code: | 950355453 |
Phone Number: | 4089461823 |
Fax Number: | 4089561110 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DB026887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |