Provider Demographics
NPI:1962756080
Name:TIU, WILLIAM G (DDS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:G
Last Name:TIU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 N VASCO RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9213
Mailing Address - Country:US
Mailing Address - Phone:925-454-1132
Mailing Address - Fax:925-454-1135
Practice Address - Street 1:1498 N VASCO RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9213
Practice Address - Country:US
Practice Address - Phone:925-454-1132
Practice Address - Fax:925-454-1135
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist