Individual
SAMUEL LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11600 WILSHIRE BLVD STE 316, LOS ANGELES, CA 90025
(310) 909-6417
Mailing address
11600 WILSHIRE BLVD STE 316, LOS ANGELES, CA 90025-1783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS101334
CA
Other
Enumeration date
06/04/2013
Last updated
08/17/2018
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