Organization
KEVIN KIEU DDS,MS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KIEU D.D.S. (ORTHODONTIST)
(714) 965-9553
Entity
Organization
Contact information
Practice address
10130 WARNER AVE, SUITE I, FOUNTAIN VALLEY, CA 92708-1619
(714) 965-9553
Mailing address
10130 WARNER AVE, SUITE I, FOUNTAIN VALLEY, CA 92708-1619
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D37431
CA
Other
Enumeration date
05/05/2007
Last updated
08/22/2020
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