Individual provider · Type 1 NPI

Lydia Koernianingsih, DDS

Dentist · Santa Ana, CA

NPI number 1083817423 Active

Practice location

1125 E 17th St Ste W234
Santa Ana, CA 92701-2228

Call (714) 558-4895 Map

Fax (714) 558-4896

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X48488 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083817423

Lydia Koernianingsih, DDS's National Provider Identifier is 1083817423, issued on Jun 5, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 24, 2020.