LYDIA KOERNIANINGSIH

SANTA ANA, CA
NPI1083817423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  48488)
Enumeration Date2007-06-05
Last Update Date2020-01-24
Business Address
Mrs. LYDIA KOERNIANINGSIH DDS
1125 E 17TH ST STE W234
SANTA ANA, CA 92701-2228
Phone number: 714-558-4895
Mailing Address
Mrs. LYDIA KOERNIANINGSIH DDS
1125 E 17TH ST STE W234
SANTA ANA, CA 92701-2228
Phone number: 714-558-4895