Individual
YIDI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
3451 WYNDHAM WAY STE B, WEST LAFAYETTE, IN 47906-5508
(650) 918-0918
Mailing address
3451 WYNDHAM WAY STE B, WEST LAFAYETTE, IN 47906-5508
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013946A
IN
Other
Enumeration date
10/24/2023
Last updated
02/14/2025
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