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Organization

ANN D. LIOU, DDS, MSD, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA LYNN HECKATHORN (OFFICE MANAGER)
(425) 776-3166
Entity
Organization

Contact information

Practice address
22815 100TH AVE W, EDMONDS, WA 98020-5919
(425) 776-3166
(425) 776-3881
Mailing address
22815 100TH AVE W, EDMONDS, WA 98020-5919
(425) 776-3166
(425) 776-3881

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DE00006629
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437133774
TYPE 1 NPI NUMBER
WA
01
1538244660
TYPE 1 NPI NUMBER
WA
Enumeration date
11/25/2008
Last updated
11/25/2008
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