Individual
CECILIA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3071 SOUTHPORT SUPPLY RD SE, BOLIVIA, NC 28422
(910) 253-0000
Mailing address
3071 SOUTHPORT SUPPLY RD SE, BOLIVIA, NC 28422-7943
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10481
NC
Other
Enumeration date
07/09/2014
Last updated
11/20/2019
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