Liu, Jessica
Liu, Jessica is an individual health care provider with primary practice located at 1401 S Beretania St Ste 575 , Honolulu HI 96814. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Liu, Jessica can be contacted via phone (808) 218-6650.Contact Information
Primary practice address
1401 S Beretania St Ste 575
Honolulu HI 96814
Phone: (808) 218-6650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DT-2717 | Hawaii |
Profile Details
| NPI number | 1750837829 |
|---|---|
| LBN Legal business name | Liu, Jessica |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | May 24th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750837829 | NPPES |
| Pennsylvania | Other | DS041040 | STATE DENTAL LICENSE |
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