| Dr John Richard Liu, DDS | |
|
185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | |
| (425) 392-4048 | |
| (425) 557-1138 |
| Full Name | Dr John Richard Liu |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 185 Ne Gilman Blvd, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013098672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00006912 (Washington) | Primary |
| Entity Name | Children's Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Richard Liu, DDS 185 Ne Gilman Blvd., Issaquah, WA 98027-2937 Ph: (425) 392-4048 | Dr John Richard Liu, DDS 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 Ph: (425) 392-4048 |
Dr. Yea Katie Nam, DDS Dentist Medicare: Medicare Enrolled Practice Location: 710 Nw Juniper St Ste 208, Issaquah, WA 98027 Phone: 425-837-0021 | |
Dr. Tripti Pawar, BDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 505 E Sunset Way, Issaquah, WA 98027 Phone: 425-392-0980 | |
Dr. Kelley Fisher, Dentist Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Gilman Blvd Ste D, Issaquah, WA 98027 Phone: 425-392-1256 Fax: 425-392-1257 | |
Dr. Diana Choa Wu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Maple Street, Suite 209, Issaquah, WA 98027 Phone: 425-654-8601 Fax: 425-654-2561 | |
Dr. Jessica P Saepoff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 240 Nw Gilman Blvd Ste 114, Issaquah, WA 98027 Phone: 425-427-8899 Fax: 425-427-9462 | |
Dr. Samuel Jacob Snipes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St Ste 101, Issaquah, WA 98027 Phone: 425-382-7170 |