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Individual

DR. FREDERICK LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
12359 SUNRISE VALLEY DR STE 300, RESTON, VA 20191-3463
(703) 385-5777
Mailing address
12359 SUNRISE VALLEY DR STE 300, RESTON, VA 20191-3463
(703) 385-5777

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
04014143467
VA
208600000X
Surgery Physician
0101255779
VA

Other

Enumeration date
01/13/2009
Last updated
01/23/2026
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