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Individual

CHANG LIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
103572
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
02/18/2017
Last updated
08/02/2019
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