Organization
LLOYD K. LIU DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD K. LIU DMD (PRESIDENT OF CORPORATION)
(801) 553-2588
Entity
Organization
Contact information
Practice address
432 EAST 12300 SOUTH, SUITE 8, DRAPER, UT 84020
(801) 553-2588
(801) 553-2100
Mailing address
432 EAST 12300 SOUTH, SUITE 8, DRAPER, UT 84020
(801) 553-2588
(801) 553-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
89-144630-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144630
DELTA DENTAL
UT
05
—
528904611024
—
UT
01
—
789803
UNITED CONCORDIA TRICARE
UT
Enumeration date
12/08/2006
Last updated
08/22/2020
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