Provider Demographics
NPI:1942342829
Name:LIU, YU (DMD)
Entity Type:Individual
Prefix:DR
First Name:YU
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 FRANKLIN STREET
Mailing Address - Street 2:APT.#5
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3482
Mailing Address - Country:US
Mailing Address - Phone:973-743-3598
Mailing Address - Fax:
Practice Address - Street 1:1300 ROCK AVE
Practice Address - Street 2:A-4
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3535
Practice Address - Country:US
Practice Address - Phone:908-756-6623
Practice Address - Fax:908-754-7133
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022826001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice