Organization
ANTHONY LIEU DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LIEU DMD (OWNER)
(707) 795-4523
Entity
Organization
Contact information
Practice address
6420 COMMERCE BLVD, ROHNERT PARK, CA 94928-2421
(707) 795-4523
Mailing address
6420 COMMERCE BLVD, ROHNERT PARK, CA 94928-2421
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
55913
CA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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