# DR. NATHANIEL S. LIU, D.D.S., A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1730343252
- **Authorized official:** DR. NATHANIEL S LIU DDS (OWNER/DF)
- **Authorized official phone:** (619) 259-4001

## Contact information

- **Practice address:** 28350 VIA SANTA ROSA, TEMECULA, CA 92590-5335
- **Practice address phone:** (619) 259-4001
- **Mailing address:** 28350 VIA SANTA ROSA, TEMECULA, CA 92590-5335
- **Mailing address phone:** (619) 259-4001
- **Mailing address fax:** (619) 393-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | CA | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609930007 | NPI INDIVIDUAL | CA |