| Anthony Lieu Dmd Inc | |
|
6420 Commerce Blvd Rohnert Park CA 94928-2421 | |
| (707) 795-4523 | |
| Not Available |
| Full Name | Anthony Lieu Dmd Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6420 Commerce Blvd, Rohnert Park, California |
| Authorized Official Name and Position | Anthony Lieu (OWNER) |
| Authorized Official Contact | 7077954523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Lieu Dmd Inc 6420 Commerce Blvd Rohnert Park CA 94928-2421 Ph: () - | Anthony Lieu Dmd Inc 6420 Commerce Blvd Rohnert Park CA 94928-2421 Ph: (707) 795-4523 |
| NPI Number | 1477910602 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477910602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 55913 (California) | Primary |
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