Individual
HEIDI L LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 N RESERVATION DR, KANOSH, UT 84637
(435) 759-2610
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9850489-9920
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9850489-9920
DENTAL HYGIENE LICENSE
UT
Enumeration date
07/21/2017
Last updated
07/21/2022
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