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NPI Code Detail

MEDICARE: QUAN LIU DDS, PHD, DMD

MEDICARE: QUAN LIU DDS, PHD, DMD
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 Dentistry59346CA

General Provider Information

NPI Number : 1962714766
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUAN LIU DDS, PHD, DMD
Provider Business Mailing Address
First Line : 7506 CHARMANT DR
Second Line : 818
City : SAN DIEGO
State : CA
Zip : 92122-5026
Country : US
Telephone Number : 858-610-3403
Fax Number :
Provider Business Practice Location Address
First Line : 7506 CHARMANT DR
Second Line : 818
City : SAN DIEGO
State : CA
Zip : 92122-5026
Country : US
Telephone Number : 858-610-3403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 07/08/2010

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Directions to “ QUAN LIU DDS, PHD, DMD” Practice Location

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