| Doctor Name: | DR. JENNIFER JUO TZU LIU |
| NPI Number: | 1922293935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS MD |
| License Number: | A99211 |
| Business Practice Address: | 1700 Pennsylvania Ave Ste A Fairfield, CA - 945333588 |
| Business Phone Number: | 7074226020 |
| Business Fax Number: | 7074227228 |
| Mailing Address: | 1700 Pennsylvania Ave, Ste A FAIRFIELD |
| State: | CA |
| Postal Code: | 945333588 |
| Phone Number: | 7074226020 |
| Fax Number: | 7074227228 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A99211 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |