Individual
DR. JACQUELINE NICOLE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6204 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1714
(703) 420-1079
Mailing address
8190 STRAWBERRY LN APT N513, FALLS CHURCH, VA 22042-1021
(203) 715-8880
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401418704
VA
Other
Enumeration date
03/05/2019
Last updated
10/26/2024
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