Individual provider · Type 1 NPI

Jacqueline Nicole Liu

Pediatric Dentistry · Alexandria, VA

NPI number 1669930962 Active

Practice location

6204 Little River Tpke
Alexandria, VA 22312-1714

Mailing address

8190 Strawberry Ln Apt N513
Falls Church, VA 22042-1021

Other practice locations

  • 1500 Cornerside Blvd Ste 200, Vienna, VA 22182-2434 · (703) 821-2222

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401418704 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1669930962

Jacqueline Nicole Liu's National Provider Identifier is 1669930962, issued on Mar 5, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Alexandria, VA. The record was last updated on Oct 26, 2024.