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Organization
DONNA LIEU DDS INC.
Active
Organization
DONNA LIEU DDS INC.
Active
Other names
Beverly Grove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LIEU (CEO)
(323) 933-9349
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD STE 1109, LOS ANGELES, CA 90048-5812
(323) 933-9349
Mailing address
6200 WILSHIRE BLVD STE 1109, LOS ANGELES, CA 90048-5812
(323) 933-9349
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225288525
NPI
—
Enumeration date
08/15/2018
Last updated
08/15/2018
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