Individual
FREDERICK LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 ATWOOD AVE STE 802, PROVIDENCE, RI 02919-3289
(401) 273-4411
Mailing address
1526 ATWOOD AVE STE 102, PROVIDENCE, RI 02919-3289
(401) 273-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417453
VA
Other
Enumeration date
06/29/2021
Last updated
08/06/2025
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