Provider Demographics
NPI:1477769685
Name:NING LIU D.D.S. INC.
Entity Type:Organization
Organization Name:NING LIU D.D.S. INC.
Other - Org Name:POWAY FAMILY DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-679-8918
Mailing Address - Street 1:12378 POWAY RD STE B
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4242
Mailing Address - Country:US
Mailing Address - Phone:858-679-8918
Mailing Address - Fax:858-679-6979
Practice Address - Street 1:12378 POWAY RD STE B
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4242
Practice Address - Country:US
Practice Address - Phone:858-679-8918
Practice Address - Fax:858-679-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92459-01OtherDENTI-CAL