Dr. Andy Liu, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Carson, CA. Individual provider (NPI-1).
NPI number1194482711
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1194482711
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andy Liu
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 104715 | CA | Yes |
Practice location
20700 Avalon Blvd # 600Carson, CA 90746-3701
Phone 844-303-4560
Mailing address
3110 Glendon AveLos Angeles, CA 90034-3404
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