Organization
DR. NATHANIEL S. LIU, D.D.S., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL S LIU DDS (OWNER/DF)
(619) 259-4001
Entity
Organization
Contact information
Practice address
28350 VIA SANTA ROSA, TEMECULA, CA 92590-5335
(619) 259-4001
Mailing address
28350 VIA SANTA ROSA, TEMECULA, CA 92590-5335
(619) 259-4001
(619) 393-0413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609930007
NPI INDIVIDUAL
CA
Enumeration date
07/14/2008
Last updated
07/21/2022
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