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Individual

DR. JESS L. LIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
100 E NEWTON ST, SUITE 217, BOSTON, MA 02118-2308
(617) 638-4750
Mailing address
45 E NEWTON ST, APT 319, BOSTON, MA 02118-4802
(917) 512-3055

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
055051
NY
122300000X
Dentist
Primary
DL12050
MA

Other

Enumeration date
07/14/2009
Last updated
09/20/2013
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