OrganizationLiu Dental Corp(<Unavail>)DentistDental ProvidersPractice Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342(858) 467-0503PECOS EnrollmentBased on the most recent information from CMS, provider Liu Dental Corp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215110093Provider TypeOrganizationFull NameLiu Dental CorpOther Name<Unavail>SubpartNoEnumeration Date12/14/2007Last Updated12/14/2007Contact InformationPractice LocationPractice Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342Phone(858) 467-0503Fax(858) 467-9103Mailing LocationMailing Address5527 Clairemont Mesa Blvd, San Diego, CA 92117-2342Phone(858) 467-0503Fax(858) 467-9103Authorized OfficialNameLiu, Molly S (President)Phone(858) 467-0503Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense41461CaliforniaProvider IdentifiersIDDescriptionIssuerIDG91634DescriptionOtherIssuerDENTI-CALCalifornia