Kathleen A Siu Professional Corporation | |
23838 Valencia Blvd 300 Valencia CA 91355-5319 | |
(661) 259-2960 | |
(661) 259-5983 |
Full Name | Kathleen A Siu Professional Corporation |
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Speciality | Dentist - Pediatric Dentistry |
Location | 23838 Valencia Blvd, Valencia, California |
Authorized Official Name and Position | Kathleen A Siu (OWNER) |
Authorized Official Contact | 6612592960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathleen A Siu Professional Corporation 23838 Valencia Blvd 300 Valencia CA 91355-5319 Ph: (661) 259-2960 | Kathleen A Siu Professional Corporation 23838 Valencia Blvd 300 Valencia CA 91355-5319 Ph: (661) 259-2960 |
NPI Number | 1134518988 |
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Provider Enumeration Date | 01/16/2015 |
Last Update Date | 01/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134518988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 29472 (California) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 28618 (California) | Secondary |
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