Provider Demographics
NPI:1013570944
Name:SU-CHIEH LIU, DDS, MS, INC.
Entity Type:Organization
Organization Name:SU-CHIEH LIU, DDS, MS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:SU-CHIEH
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:650-351-6789
Mailing Address - Street 1:2345 YALE ST # 2B
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1448
Mailing Address - Country:US
Mailing Address - Phone:650-351-6789
Mailing Address - Fax:650-351-6489
Practice Address - Street 1:2345 YALE ST # 2B
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1448
Practice Address - Country:US
Practice Address - Phone:650-351-6789
Practice Address - Fax:650-351-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty