Organization
CHANGRUI LIU, D.D.S., INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANGRUI LIU DDS (OFFICER)
(310) 560-8889
Entity
Organization
Contact information
Practice address
5601 KANAN RD, AGOURA HILLS, CA 91301-3358
(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
12/31/2014
Last updated
12/31/2014
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