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NPI Code Detail

MEDICARE: ALISON LIU DDS

MEDICARE: ALISON LIU DDS
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
1122300000XDentist45387CA

General Provider Information

NPI Number : 1669628327
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON LIU DDS
Provider Business Mailing Address
First Line : 715 S MAIN ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5717
Country : US
Telephone Number : 714-835-6616
Fax Number : 714-242-7042
Provider Business Practice Location Address
First Line : 715 S MAIN ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-5717
Country : US
Telephone Number : 714-835-6616
Fax Number : 714-242-7042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 08/13/2008

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