# ANTHONY LIEU DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477910602
- **Authorized official:** ANTHONY LIEU DMD (OWNER)
- **Authorized official phone:** (707) 795-4523

## Contact information

- **Practice address:** 6420 COMMERCE BLVD, ROHNERT PARK, CA 94928-2421
- **Practice address phone:** (707) 795-4523
- **Mailing address:** 6420 COMMERCE BLVD, ROHNERT PARK, CA 94928-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 55913 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 01/19/2016