Organization Name: | YU PING LIU, DDS, A PROFESSIONAL DENTAL CORPORATION |
NPI Number: | 1225215163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YU PING LIU (PRESIDENT) |
Mailing Address: | 8247 Whittier Blvd Pico Rivera |
State: | CA US |
Postal Code: | 906602527 |
Phone Number: | 5626921600 |
Fax Number: | 5626921614 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 39036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |