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Organization
JS LIU DDS INC
Active
Organization
JS LIU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY LIU DDS (DDS/OWNER)
(626) 320-3611
Entity
Organization
Contact information
Practice address
9791 BASELINE ROAD, RANCHO CUCAMONGA, CA 91730
(909) 987-8779
(909) 987-2815
Mailing address
9791 BASELINE ROAD, RANCHO CUCAMONGA, CA 91730
(909) 987-8779
(909) 987-2815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51966
CA
Other
Enumeration date
03/24/2015
Last updated
03/02/2020
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