| Xie & Liu Dental Partnership | |
|
114 Pacifica Ste 350 Irvine CA 92618-3335 | |
| (909) 247-4258 | |
| Not Available |
| Full Name | Xie & Liu Dental Partnership |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 114 Pacifica Ste 350, Irvine, California |
| Authorized Official Name and Position | Gary Liu (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9092474258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xie & Liu Dental Partnership 24970 Keissel Rd Colton CA 92324-9687 Ph: (909) 247-4258 | Xie & Liu Dental Partnership 114 Pacifica Ste 350 Irvine CA 92618-3335 Ph: (909) 247-4258 |
| NPI Number | 1255059044 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255059044 | NPI | - | NPPES |
| 1962993824 | Medicaid | CA | |
| 1295136570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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