Organization
CENTRAL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KY LIEN DO (OWNER)
(323) 261-9999
Entity
Organization
Contact information
Practice address
2111 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-6801
(323) 261-9999
(323) 261-9998
Mailing address
2111 S ATLANTIC BLVD., MONTEREY PARK, CA 91754
(323) 261-9999
(323) 261-9998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41399
CA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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