| NPI | 1922349521 |
|---|---|
| Doing Business As | LDJ FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LYDIA KOERNIANINGSIH Dentist / Owner 714-558-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 48488) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2020-01-24 |