Jiawei Liu
Dentist in Brea, CA. Individual provider (NPI-1).
NPI number1124717954
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1124717954
- Entity type
- Individual (NPI-1)
- Name
- Jiawei Liu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2023
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DDS111603 | CA | Yes |
Practice location
115 S State College Blvd Unit 362Brea, CA 92821-1614
Phone 408-666-6276
Mailing address
115 S State College Blvd Unit 362Brea, CA 92821-1614
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