Provider Demographics
NPI:1639510746
Name:LIU, DAWEI (DDS, MS, PHD)
Entity Type:Individual
Prefix:DR
First Name:DAWEI
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:DDS, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W WISCONSIN AVE
Mailing Address - Street 2:DENTAL SCHOOL, ROOM 364
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-2186
Mailing Address - Country:US
Mailing Address - Phone:414-288-2142
Mailing Address - Fax:414-288-1468
Practice Address - Street 1:1801 W WISCONSIN AVE
Practice Address - Street 2:DENTAL SCHOOL, ROOM 364
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2186
Practice Address - Country:US
Practice Address - Phone:414-288-2142
Practice Address - Fax:414-288-1468
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI263-8751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics