Organization
CENTRAL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY LIEN DO (OWNER)
(626) 527-2200
Entity
Organization
Contact information
Practice address
12072 E VALLEY BLVD., EL MONTE, CA 91732
(626) 527-2200
(626) 527-2205
Mailing address
12072 E VALLEY BLVD., EL MONTE, CA 91732
(626) 527-2200
(626) 527-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41399
CA
Other
Enumeration date
12/01/2006
Last updated
09/03/2015
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