MEDICARE: DR. QUINN 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	1223G0001X	General Practice Dentistry	29531	TX

General Provider Information

NPI Number	:	1376898924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUINN LIU

Provider Business Mailing Address
First Line	:	740 STALLION DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-8720
Country	:	US
Telephone Number	:	917-891-9180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3878 OAK LAWN AVE STE 310
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4460
Country	:	US
Telephone Number	:	214-484-1064
Fax Number	:

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

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	02/05/2021

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