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Individual

DR. GARY GANG LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 537-0700
Mailing address
24970 KEISSEL RD, COLTON, CA 92324-9687
(909) 247-4258

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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