| Organization Name: | DR. NATHANIEL S. LIU, DDS A PROFESSIONAL CORPORATION |
| NPI Number: | 1013113067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHANIEL S LIU (DENTIST OWNER) |
| Mailing Address: | 1040 Tierra Del Rey Suite 103 Chula Vista |
| State: | CA US |
| Postal Code: | 919107865 |
| Phone Number: | 6194821210 |
| Fax Number: | 6194777775 |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 02/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 99424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |