Anthony Lieu Dmd Inc | |
6420 Commerce Blvd Rohnert Park CA 94928-2421 | |
(707) 795-4523 | |
Not Available |
Full Name | Anthony Lieu Dmd Inc |
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Speciality | Clinic/center - Dental |
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 |
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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 | 1922473446 |
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Provider Enumeration Date | 12/09/2015 |
Last Update Date | 12/09/2015 |
Identifier | Type | State | Issuer |
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1922473446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 55913 (California) | Primary |
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Anthony Lieu Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Commerce Blvd, Rohnert Park, CA 94928 Phone: 707-795-4523 |