Provider Demographics
NPI:1225215163
Name:YU PING LIU, DDS, A PROFESSIONAL DENTAL CORPORATION
Entity Type:Organization
Organization Name:YU PING LIU, DDS, A PROFESSIONAL DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YU
Authorized Official - Middle Name:PING
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-692-1600
Mailing Address - Street 1:8247 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-2527
Mailing Address - Country:US
Mailing Address - Phone:562-692-1600
Mailing Address - Fax:562-692-1614
Practice Address - Street 1:8247 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2527
Practice Address - Country:US
Practice Address - Phone:562-692-1600
Practice Address - Fax:562-692-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39036261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental