Individual
DR. CHANGRUI LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 KANAN RD, AGOURA HILLS, CA 91301-3358
(818) 991-8881
Mailing address
3110 GLENDON AVE, LOS ANGELES, CA 90034-3404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41944
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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