Individual
KEVIN NAM KIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
10130 WARNER AVE, SUITE I, FOUNTAIN VALLEY, CA 92708-1619
(714) 965-9553
(714) 965-9555
Mailing address
10130 WARNER AVE, SUITE I, FOUNTAIN VALLEY, CA 92708-1619
(714) 965-9553
(714) 965-9555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37431
CA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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