Dr. Ivy Fangyu Lin, D.M.D.
Dentist in Seattle, WA. Individual provider (NPI-1).
NPI number1982136289
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1982136289
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivy Fangyu Lin
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2017
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE60857215 | WA | Yes |
Other names
- Fang Yu Lin (Former Name)
Practice location
1200 12th Ave S Ste 401Seattle, WA 98144-2730
Phone 206-548-5850 · Fax 206-328-4034
Mailing address
1200 12th Ave S Ste 901Seattle, WA 98144-2712
Phone 206-548-3058 · Fax 206-262-0859
Other practice locations
23320 Highway 99
Edmonds, WA 98026
Edmonds, WA 98026
Phone 425-640-5500
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