Individual
CONNIE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3708 MAIN ST, 4TH FLOOR, FLUSHING, NY 11354-6509
(718) 886-7222
Mailing address
322 W 55TH ST, APT# 2B, NEW YORK, NY 10019-5157
(917) 609-2735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051204
NY
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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