Lydia Koernianingsih, DDS
General Dentistry · Santa Ana, CA
UnclaimedDDSNPI 1083817423
- Primary taxonomy
- 122300000X
- Enumerated
- 2007-06-05
- Practice location
- Santa Ana, CA
- Last NPPES update
- 2020-01-24
State licenses
- CA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.