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NPI Code Detail

MEDICARE: DR. KHON HAN LIEN

MEDICARE:  DR. KHON HAN LIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry13158MD
21223G0001XGeneral Practice DentistryDN29087FL

General Provider Information

NPI Number : 1427059674
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHON HAN LIEN
Provider Business Mailing Address
First Line : 1601 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1197
Country : US
Telephone Number : 904-475-5800
Fax Number :
Provider Business Practice Location Address
First Line : 1601 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1197
Country : US
Telephone Number : 904-475-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 02/27/2026

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Directions to “ DR. KHON HAN LIEN ” Practice Location

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