| Changrui Liu, D.d.s., Inc., A Professional Corporation | |
|
5601 Kanan Rd Agoura Hills CA 91301-3358 | |
| (310) 560-8889 | |
| Not Available |
| Full Name | Changrui Liu, D.d.s., Inc., A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5601 Kanan Rd, Agoura Hills, California |
| Authorized Official Name and Position | Changrui Liu (OFFICER) |
| Authorized Official Contact | 3105608889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changrui Liu, D.d.s., Inc., A Professional Corporation 5601 Kanan Rd Agoura Hills CA 91301-3358 Ph: (310) 560-8889 | Changrui Liu, D.d.s., Inc., A Professional Corporation 5601 Kanan Rd Agoura Hills CA 91301-3358 Ph: (310) 560-8889 |
| NPI Number | 1194113910 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194113910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41944 (California) | Primary |
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