| Lieu Kim Nguyen Dds Incorp | |
|
1279 E Anaheim St Long Beach CA 90813-3709 | |
| (562) 591-0909 | |
| Not Available |
| Full Name | Lieu Kim Nguyen Dds Incorp |
|---|---|
| Speciality | Dentist |
| Location | 1279 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Lieu Kim Nguyen (PRESIDENT) |
| Authorized Official Contact | 5625910909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lieu Kim Nguyen Dds Incorp 1279 E. Anaheim St. Long Beach CA 90813 Ph: (562) 591-0909 | Lieu Kim Nguyen Dds Incorp 1279 E Anaheim St Long Beach CA 90813-3709 Ph: (562) 591-0909 |
| NPI Number | 1093118952 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093118952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34392 (California) | Primary |
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