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Organization
LIAO & CHEUNG DENTAL PLLC
Active
Organization
LIAO & CHEUNG DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE LIAO D.D.S (OWNER)
(480) 380-3737
Entity
Organization
Contact information
Practice address
9061 E BASELINE RD STE B103, MESA, AZ 85209-7761
(480) 380-3737
(480) 380-3739
Mailing address
9061 E BASELINE RD STE B103, MESA, AZ 85209-7761
(480) 380-3737
(480) 380-3739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526121
AHCCS ID
AZ
Enumeration date
06/28/2007
Last updated
11/21/2007
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