Organization
MARK LIU DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LIU DDS (DENTIST)
(718) 205-2888
Entity
Organization
Contact information
Practice address
7911 41ST AVE, SUITE A-107, ELMHURST, NY 11373-1258
(718) 205-2888
(718) 205-2855
Mailing address
7911 41ST AVE, SUITE A-107, ELMHURST, NY 11373-1258
(718) 205-2888
(718) 205-2855
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0518461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654479
—
NY
Enumeration date
11/20/2010
Last updated
11/20/2010
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