Organization
CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPORATION
Active
Parent organization
CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPARATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPARATION
Authorized official
DR. CHANGRUI LIU DDS (OFFICER)
(310) 560-8889
Entity
Organization
Contact information
Practice address
11600 WILSHIRE BLVD,, #316, LOS ANGELES, CA 90025-1783
(310) 560-8889
Mailing address
5601 KANAN RD, AGOURA HILLS, CA 91301-3358
(310) 560-8889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41944
CA
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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