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NPI Code Detail

MEDICARE: DR. GARIN MICHAEL LIU D.D.S

MEDICARE: DR. GARIN MICHAEL LIU D.D.S
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
11223P0700XProsthodonticsDT3456HI
21223G0001XGeneral Practice DentistryDE00009681WA

General Provider Information

NPI Number : 1972504439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARIN MICHAEL LIU D.D.S
Provider Business Mailing Address
First Line : 2764 REEVES RD
Second Line :
City : KAILUA
State : HI
Zip : 96734-4911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number : 46-816-8658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/13/2025

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