Individual
JESSICA LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BELL CHIME, IRVINE, CA 92618-8804
(949) 910-3551
Mailing address
32 BELL CHIME, IRVINE, CA 92618-8804
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102458
CA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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