Organization
ANN LIU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LIU DMD (OWNER)
(832) 264-1360
Entity
Organization
Contact information
Practice address
17 N 18TH ST, KENILWORTH, NJ 07033-1230
(908) 272-4170
(908) 272-1420
Mailing address
68 4TH ST APT 2A, SOUTH ORANGE, NJ 07079-1851
(832) 264-1360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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