# ANN LIU LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699310516
- **Authorized official:** ANN LIU DMD (OWNER)
- **Authorized official phone:** (832) 264-1360

## Contact information

- **Practice address:** 17 N 18TH ST, KENILWORTH, NJ 07033-1230
- **Practice address phone:** (908) 272-4170
- **Practice address fax:** (908) 272-1420
- **Mailing address:** 68 4TH ST APT 2A, SOUTH ORANGE, NJ 07079-1851
- **Mailing address phone:** (832) 264-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/14/2019
- **Last updated:** 11/14/2019