MEDICARE: DR. WEN-HUI LIU D.D.S.

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
1	1223G0001X	General Practice Dentistry	22DI02130600	NJ

General Provider Information

NPI Number	:	1528158805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WEN-HUI LIU D.D.S.

Provider Business Mailing Address
First Line	:	516 CLOSTER DOCK RD
Second Line	:
City	:	CLOSTER
State	:	NJ
Zip	:	07624-3130
Country	:	US
Telephone Number	:	201-768-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 ENGLE ST
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-2409
Country	:	US
Telephone Number	:	201-568-1866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	07/08/2007

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