| Lien Kim Quach Dds Inc | |
|
1415 Brundage Ln Bakersfield CA 93304-3114 | |
| (661) 323-0076 | |
| (661) 323-0277 |
| Full Name | Lien Kim Quach Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1415 Brundage Ln, Bakersfield, California |
| Authorized Official Name and Position | Daru Wardono (OFFICE MANAGER) |
| Authorized Official Contact | 6613230076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lien Kim Quach Dds Inc Po Box 9579 Bakersfield CA 93389-9579 Ph: (661) 323-0076 | Lien Kim Quach Dds Inc 1415 Brundage Ln Bakersfield CA 93304-3114 Ph: (661) 323-0076 |
| NPI Number | 1003578824 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003578824 | NPI | - | NPPES |
| 1144318882 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
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