Individual
DR. GARY GANG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
102597
CA
390200000X
Student in an Organized Health Care Education/Training Program
102597
CA
Other
Enumeration date
05/25/2018
Last updated
07/01/2020
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