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Organization
DONNA LIEU DDS INC
Active
Organization
DONNA LIEU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LIEU DDS (PRESIDENT)
(323) 933-9349
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1109, LOS ANGELES, CA 90048-5801
(323) 933-9349
(323) 933-3268
Mailing address
6200 WILSHIRE BLVD, SUITE 1109, LOS ANGELES, CA 90048-5801
(323) 933-9349
(323) 933-3268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57714
CA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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