Healthcare Provider Details
I. General information
NPI: 1427074376
Provider Name (Legal Business Name): JAMES LI-HANG LIU D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16981 E QUINCY AVE SUITE #D1-D3
AURORA CO
80015-2769
US
IV. Provider business mailing address
1580 S COLUMBINE ST
DENVER CO
80210-2823
US
V. Phone/Fax
- Phone: 303-617-8400
- Fax:
- Phone: 303-762-1669
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 8572 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: