Individual
DR. JENNIFER JUO TZU LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
1700 PENNSYLVANIA AVE, STE A, FAIRFIELD, CA 94533-3588
(707) 422-6020
(707) 422-7228
Mailing address
1700 PENNSYLVANIA AVE, STE A, FAIRFIELD, CA 94533-3588
(707) 422-6020
(707) 422-7228
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
OMS75
CA
208D00000X
General Practice Physician
A99211
CA
Other
Enumeration date
09/12/2007
Last updated
06/10/2015
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