Individual
DR. JOHN MICHAEL LIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12777 VALLEY VIEW ST STE 252, GARDEN GROVE, CA 92845-2522
(714) 799-2888
(714) 799-2788
Mailing address
12777 VALLEY VIEW ST STE 252, GARDEN GROVE, CA 92845-2522
(714) 799-2888
(714) 799-2788
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
39440
CA
Other
Enumeration date
07/25/2006
Last updated
07/09/2007
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