Jesan Liu is a General Practice in Sacramento, California. Jesan Liu practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jesan Liu is 1417169830. The last update date is 2007-07-08.
Jesan Liu's current location address is 5665 Freeport Blvd Ste 4, Sacramento, California. You can contact this provider via phone number 9164214790. The mailing address for Jesan Liu is 5665 Freeport Blvd Ste 4, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesan Liu |
|---|---|
| Address | 5665 Freeport Blvd Ste 4, Sacramento, California |
| Phone Number | 9164214790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417169830 |
|---|---|
| Provider Enumeration Date | 2007-05-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5665 Freeport Blvd Ste 4 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958223517 |
| Phone Number | 9164214790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 34733 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Jesan Liu's unique identification number?
The Jesan Liu has been assigned the NPI (National Provider Identifier) Number 1417169830 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jesan Liu's physical address?
The Jesan Liu is physically located at 5665 Freeport Blvd Ste 4, in the city of Sacramento, CA, with the postal code 958223517.
Could you please provide the complete street address where Jesan Liu is physically located?
The Jesan Liu is physically situated at the following address: 5665 Freeport Blvd Ste 4, Sacramento, CA, 958223517.
On what date did the Jesan Liu receive its 1417169830 assignment from the Centers for Medicare & Medicaid Services?
The Jesan Liu was assigned its 1417169830 by the Centers for Medicare & Medicaid Services on 2007-05-06.
As of what date were the details related to Jesan Liu most recently updated or revised?
The information pertaining to Jesan Liu, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.