MEDICARE: YUEHUA LIU

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	0401419457	VA

General Provider Information

NPI Number	:	1154127371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUEHUA LIU

Provider Business Mailing Address
First Line	:	4239 HOLLAND RD STE 762A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1943
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4239 HOLLAND RD STE 762A
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1943
Country	:	US
Telephone Number	:	757-755-8791
Fax Number	:

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

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	05/29/2025

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Directions to “ YUEHUA LIU ” Practice Location

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