Individual
YUAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D044340
PA
Other
Enumeration date
11/07/2023
Last updated
06/17/2024
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