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ANTHONY LIEU DMD INC NPI 1477910602


NPI Information

NPI: 1477910602
Provider Name: ANTHONY LIEU DMD INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6420 COMMERCE BLVD
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 795-4523
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ANTHONY LIEU DMD INC is an oral and maxillofacial surgery dentist in Rohnert Park, CA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ANTHONY LIEU DMD INC NPI is 1477910602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6420 COMMERCE BLVD
ROHNERT PARK, CA
ZIP 94928-421
Phone: (707) 795-4523

The provider's authorized official is Anthony Lieu .
The authorized official title is Owner and has the following contact phone number (707) 795-4523.

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery55913CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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