| Mark Liu Dds Pc | |
|
7911 41st Ave Suite A-107 Elmhurst NY 11373-1258 | |
| (718) 205-2888 | |
| (718) 205-2855 |
| Full Name | Mark Liu Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7911 41st Ave, Elmhurst, New York |
| Authorized Official Name and Position | Mark Liu (DENTIST) |
| Authorized Official Contact | 7182052888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Liu Dds Pc 7911 41st Ave Suite A-107 Elmhurst NY 11373-1258 Ph: (718) 205-2888 | Mark Liu Dds Pc 7911 41st Ave Suite A-107 Elmhurst NY 11373-1258 Ph: (718) 205-2888 |
| NPI Number | 1134421381 |
|---|---|
| Provider Enumeration Date | 11/20/2010 |
| Last Update Date | 11/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134421381 | NPI | - | NPPES |
| 02654479 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0518461 (New York) | Primary |
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