| Dr. Nathaniel S. Liu, Dds A Professional Corporation | |
|
28350 Via Santa Rosa Temecula CA 92590-5335 | |
| (619) 259-4001 | |
| (619) 393-0413 |
| Full Name | Dr. Nathaniel S. Liu, Dds A Professional Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 28350 Via Santa Rosa, Temecula, California |
| Authorized Official Name and Position | Nathaniel S Liu (DENTIST OWNER) |
| Authorized Official Contact | 6192594001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nathaniel S. Liu, Dds A Professional Corporation 28350 Via Santa Rosa Temecula CA 92590-5335 Ph: (619) 259-4001 | Dr. Nathaniel S. Liu, Dds A Professional Corporation 28350 Via Santa Rosa Temecula CA 92590-5335 Ph: (619) 259-4001 |
| NPI Number | 1013113067 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013113067 | NPI | - | NPPES |
| G9818801 | Other | CA | DELTA DENTAL |
| G9242601 | Medicaid | CA | |
| 924775 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 99424 (California) | Primary |
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