Lydia Koernianingsih Dds A Prof Corp
Dental Clinic
1125 E 17th St Ste W234, Santa Ana
California, 92701-2228
714-558-4895 714-558-4896
Maps & DirectionsLydia Koernianingsih Dds A Prof Corp is a Dental Clinic in Santa Ana, California. It is located at 1125 E 17th St Ste W234, Santa Ana, CA and its contact number is 714-558-4895. The authorized person for Lydia Koernianingsih Dds A Prof Corp is Lydia Koernianingsih
who is Dentist / Owner of the clinic and their contact number is 714-558-4895. The primary license number for Lydia Koernianingsih Dds A Prof Corp is 48488 (Dentist) in California.
Lydia Koernianingsih Dds A Prof Corp Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lydia Koernianingsih Dds A Prof Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lydia Koernianingsih Dds A Prof Corp |
| Specialization: | Dentistry |
| Clinic Address: | 1125 E 17th St Ste W234, Santa Ana,
California, 92701-2228 |
| Phone: | 714-558-4895 |
| Fax: | 714-558-4896 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lydia Koernianingsih |
| Position: | Dentist / Owner |
| Contact Number: | 714-558-4895 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lydia Koernianingsih Dds A Prof Corp clinic are as mentioned below.
| NPI Number: | 1922349521 |
| NPI Enumeration Date: | 06 Mar, 2013 |
| NPI Last Update On: | 24 Jan, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lydia Koernianingsih Dds A Prof Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 48488 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lydia Koernianingsih Dds A Prof Corp
1125 E 17th St Ste W234,
Santa Ana, California |
| Zip: | 92701-2228 |
| Phone Number: | 714-558-4895 |
| Fax Number: | 714-558-4896 |
Patients can reach Lydia Koernianingsih Dds A Prof Corp at
1125 E 17th St Ste W234, Santa Ana, California or can
call to book an appointment on 714-558-4895.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.