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Organization
LQKT CORPORATION
Active
Organization
LQKT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM QUOC LE D.D.S (OWNER)
(714) 000-0000
Entity
Organization
Contact information
Practice address
16040 HARBOR BLVD STE F, FOUNTAIN VALLEY, CA 92708-1327
(714) 000-0000
Mailing address
16040 HARBOR BLVD STE F, FOUNTAIN VALLEY, CA 92708-1327
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44916
CA
Other
Enumeration date
09/23/2016
Last updated
02/02/2017
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