# LQKT CORPORATION

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

## Provider details

- **NPI number:** 1740739374
- **Authorized official:** KIM QUOC LE D.D.S (OWNER)
- **Authorized official phone:** (714) 000-0000

## Contact information

- **Practice address:** 16040 HARBOR BLVD STE F, FOUNTAIN VALLEY, CA 92708-1327
- **Practice address phone:** (714) 000-0000
- **Mailing address:** 16040 HARBOR BLVD STE F, FOUNTAIN VALLEY, CA 92708-1327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 44916 | CA | Yes |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 02/02/2017
