Provider Demographics
NPI:1699864652
Name:LIU, AMBER PING (DDS)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:PING
Last Name:LIU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 KAMOKILA BLVE.
Mailing Address - Street 2:KAPOLEI FAMILY DENTAL CORP. KAPOLEI BLDG. # 109
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-674-8000
Mailing Address - Fax:808-674-8607
Practice Address - Street 1:1001 KAMOKILA BLVD.
Practice Address - Street 2:KAPOLEI FAMILY DENTAL CORP. KAPOLEI BLDG. # 109
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707
Practice Address - Country:US
Practice Address - Phone:808-674-8000
Practice Address - Fax:808-674-8607
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-18501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice