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Individual

ANNIE LIOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3454 VICTORIA AVE, SANTA CLARA, CA 95051-2704
(408) 306-8558
Mailing address
3454 VICTORIA AVE, SANTA CLARA, CA 95051-2704
(408) 306-8558

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101251
CA

Other

Enumeration date
04/09/2016
Last updated
06/05/2019
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