Individual
DR. JESSICA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1401 S BERETANIA ST STE 575, HONOLULU, HI 96814
(808) 218-6650
Mailing address
1401 S BERETANIA ST STE 575, HONOLULU, HI 96814-1879
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DT-2717
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS041040
STATE DENTAL LICENSE
PA
Enumeration date
08/29/2016
Last updated
05/24/2018
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