Individual
YAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146
(215) 755-6866
(215) 334-1381
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH070045
PA
124Q00000X
Dental Hygienist
DHA000945
PA
124Q00000X
Dental Hygienist
Primary
PHDH000752
PA
Other
Enumeration date
10/28/2009
Last updated
05/24/2018
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