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Organization

DR. NATHANIEL S. LIU, DDS A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHANIEL S LIU DDS (DENTIST OWNER)
(619) 259-4001
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
99424
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
924775
UNITED CONCORDIA
CA
05
G9242601
CA
01
G9818801
DELTA DENTAL
CA
Enumeration date
06/26/2007
Last updated
07/21/2022
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