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1083817423
LYDIA KOERNIANINGSIH
SANTA ANA, CA
NPI
1083817423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 48488)
Enumeration Date
2007-06-05
Last Update Date
2020-01-24
Business Address
Mrs. LYDIA KOERNIANINGSIH DDS
1125 E 17TH ST STE W234
SANTA ANA, CA 92701-2228
Phone number: 714-558-4895
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Mailing Address
Mrs. LYDIA KOERNIANINGSIH DDS
1125 E 17TH ST STE W234
SANTA ANA, CA 92701-2228
Phone number: 714-558-4895
Copy
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