Individual
DAVID LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 825-9789
Mailing address
4707 CATHER AVE, SAN DIEGO, CA 92122-2703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
554703341
CA
1223G0001X
General Practice Dentistry
Primary
DDS106776
CA
Other
Enumeration date
06/13/2020
Last updated
09/01/2021
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