Individual
DR. HOTA EDWARD LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 WEST CHELTEN AVE, SUITE #1, PHILADELPHIA, PA 19144
(215) 438-3040
Mailing address
515 W. CHELTEN AVE, SUITE 1, PHILADELPHIA, PA 19144
(215) 438-3040
(215) 438-6383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
232-53-7128
PA
Other
Enumeration date
02/17/2012
Last updated
02/23/2012
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