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1104340017
MICHAEL LIU
IRVINE, CA
NPI
1104340017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101764)
Enumeration Date
2017-08-01
Last Update Date
2017-09-02
Business Address
MICHAEL LIU
4200 TRABUCO RD STE 130
IRVINE, CA 92620-3622
Phone number: 949-551-4737
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Mailing Address
MICHAEL LIU
12365 FAIRBANKS DR
TUSTIN, CA 92782-1145
Phone number:
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