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Organization
EDWARD S. LIU, DDS, INC.
Active
Organization
EDWARD S. LIU, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SHIH LIU DDS (PRESIDENT)
(626) 625-5570
Entity
Organization
Contact information
Practice address
8884 KNOTT AVE, BUENA PARK, CA 90620-4135
(714) 995-5000
(714) 995-5125
Mailing address
8884 KNOTT AVE, BUENA PARK, CA 90620-4135
(714) 995-5000
(714) 995-5125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467668012
NPI
CA
Enumeration date
12/16/2015
Last updated
12/16/2015
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