Individual
LILY LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2394 COBB PKWY SE, SMYRNA, GA 30080-3061
(770) 850-8442
Mailing address
2394 COBB PKWY SE, SMYRNA, GA 30080-3061
(770) 850-8442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015302
GA
Other
Enumeration date
02/13/2016
Last updated
01/20/2020
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