Healthcare Provider Details

I. General information

NPI: 1760655930
Provider Name (Legal Business Name): HANS TSUNG-HAN LIU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 E CHESTNUT HILL RD
NEWARK DE
19713
US

IV. Provider business mailing address

685 E CHESTNUT HILL RD
NEWARK DE
19713
US

V. Phone/Fax

Practice location:
  • Phone: 302-455-9555
  • Fax: 302-455-9558
Mailing address:
  • Phone: 302-455-9555
  • Fax: 302-455-9558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberG10001210
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: