# A D LIOU DDS MSD PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edmonds Prosthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851630685
- **Authorized official:** MRS. BRENDA L HECKATHORN (OFFICE MANAGER)
- **Authorized official phone:** (425) 776-3166

## Contact information

- **Practice address:** 22815 100TH AVE W, EDMONDS, WA 98020-5919
- **Practice address phone:** (425) 776-3166
- **Practice address fax:** (425) 776-3881
- **Mailing address:** 22815 100TH AVE W, EDMONDS, WA 98020-5919
- **Mailing address phone:** (425) 776-3166
- **Mailing address fax:** (425) 776-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 00006629 | WA | Yes |

## Other

- **Enumeration date:** 02/14/2013
- **Last updated:** 02/14/2013