Lieu Kim Nguyen DDS Incorp

NPI #1093118952 in Long Beach, California

Provider Information

NPI Number: 1093118952
Entity Type: Organization
Organization Name: Lieu Kim Nguyen DDS Incorp
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2014
Last Updated: Mar 19, 2015

Practice Location

Address: 1279 E ANAHEIM ST
City: Long Beach
State: California
ZIP Code: 90813-3709
Phone: (562) 591-0909

Authorized Official

Name: MRS. LIEU KIM NGUYEN
Title: PRESIDENT
Phone: (562) 591-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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