Semele Liu, DMD
Dentist in Groton, ZZ. Individual provider (NPI-1).
NPI number1558035006
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1558035006
- Entity type
- Individual (NPI-1)
- Name
- Semele Liu
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2021
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401417482 | VA | Yes |
Practice location
1 Wahoo AveGroton, ZZ
Phone 860-694-3011
Mailing address
1 Wahoo AveGroton, CT 06349-2324
Phone 860-694-3738
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