Individual
DR. HERMAN G. T. LIEM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
29814 N ELLENSBURG AVE, GOLD BEACH, OR 97444-1600
(541) 247-8000
(541) 247-8000
Mailing address
PO BOX 1600, GOLD BEACH, OR 97444-1600
(541) 247-8000
(541) 247-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6942
OR
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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