Individual
VIVIAN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7210 DAY CREEK BLVD STE 110, RANCHO CUCAMONGA, CA 91739-7543
(909) 803-1111
Mailing address
411 N LINCOLN AVE, MONTEREY PARK, CA 91755-1205
(617) 797-2214
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105939
CA
Other
Enumeration date
11/18/2014
Last updated
06/17/2021
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