Organization
XIE & LIU DENTAL PARTNERSHIP
Active
Other names
Kind Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LIU DMD (PEDIATRIC DENTIST)
(909) 247-4258
Entity
Organization
Contact information
Practice address
114 PACIFICA STE 350, IRVINE, CA 92618-3335
(909) 247-4258
Mailing address
24970 KEISSEL RD, COLTON, CA 92324-9687
(909) 247-4258
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295136570
—
CA
05
—
1962993824
—
CA
Enumeration date
08/17/2022
Last updated
08/17/2022
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