Individual
DR. JAY LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102-2944
(215) 557-7979
Mailing address
1601 WALNUT ST, SUITE 822, PHILADELPHIA, PA 19102-2944
(215) 557-7979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030582
PA
Other
Enumeration date
01/19/2007
Last updated
03/23/2012
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