Individual
DR. KATRINA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 E UNION AVE, BOUND BROOK, NJ 08805-1761
(732) 356-1830
Mailing address
2 COLUMBUS AVE, APT 34B, NEW YORK, NY 10023-6924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056868
NY
122300000X
Dentist
DI02501000
NJ
1223P0221X
Pediatric Dentistry
056868
NY
1223P0221X
Pediatric Dentistry
Primary
DI02501000
NJ
Other
Enumeration date
09/10/2012
Last updated
04/27/2015
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