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Organization
XIA L. LIU PROFESSIONAL DENTL CORP
Active
Organization
XIA L. LIU PROFESSIONAL DENTL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. XIA L. LIU D.D.S. (OWNER)
(951) 352-8318
Entity
Organization
Contact information
Practice address
8880 LIMONITE AVE, PEDLEY, CA 92509
(951) 352-8318
(951) 352-8319
Mailing address
8880 LIMONITE AVE, PEDLEY, CA 92509
(951) 352-8318
(951) 352-8319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427196997
NPI
—
Enumeration date
02/27/2008
Last updated
02/27/2008
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