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General NPI Number Information
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NPI Number | 1891165981
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Entity Type | Organization
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Legal Business Name | ESTELLE H. LIOU DDS INC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 9428 VALLEY BL. SUITE 101
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City | ROSEMEAD
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State | CA
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Zip | 91770-1513
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Country | US
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Telephone | 626-788-9008
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Fax |
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Provider Business Mailing Address
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Address Line | 9428 VALLEY BL. SUITE 101
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City | ROSEMEAD
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State | CA
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Zip | 91770-1513
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ESTELLE LIOU
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Credential | DDS
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Telephone | 626-788-9008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 45140
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License Number State | CA
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