Individual
DR. DAI-CHEN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20445 PROSPECT RD STE 7, SAN JOSE, CA 95129-4663
(408) 252-8889
Mailing address
20445 PROSPECT RD STE 7, SAN JOSE, CA 95129-4663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3053231
TAX ID
—
Enumeration date
09/14/2006
Last updated
06/13/2013
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