Organization
LIEN KIM QUACH DDS INC
Active
Other names
Quach Central Valley Dental Practice, Quach Central Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DARU WARDONO (OFFICE MANAGER)
(661) 323-0076
Entity
Organization
Contact information
Practice address
1801 HASTI ACRES DR STE 9, BAKERSFIELD, CA 93309-4879
(661) 323-0076
(661) 323-0277
Mailing address
PO BOX 10600, BAKERSFIELD, CA 93389-0600
(661) 323-0076
(661) 323-0277
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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