Provider Demographics
NPI:1407970817
Name:LIOU, ESTELLE HWEI-WAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ESTELLE
Middle Name:HWEI-WAN
Last Name:LIOU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HWEI-WAN
Other - Middle Name:ESTELLE
Other - Last Name:LIOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1524 N ORANGE GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3812
Mailing Address - Country:US
Mailing Address - Phone:909-632-0583
Mailing Address - Fax:909-397-4007
Practice Address - Street 1:1524 N ORANGE GROVE AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3812
Practice Address - Country:US
Practice Address - Phone:909-632-0583
Practice Address - Fax:909-397-4007
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45140122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist