# JANICE T. LIAO D.D.S PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528265469
- **Authorized official:** MS. JANICE T LIAO D.D.S (OWNER)
- **Authorized official phone:** (480) 461-3400

## Contact information

- **Practice address:** 1440 S COUNTRY CLUB DR STE 23, MESA, AZ 85210-9704
- **Practice address phone:** (480) 461-3400
- **Practice address fax:** (480) 461-1747
- **Mailing address:** 1440 S COUNTRY CLUB DR STE 23, MESA, AZ 85210-9704
- **Mailing address phone:** (480) 461-3400
- **Mailing address fax:** (480) 461-1747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5142 | AZ | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 11/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 526121 | AHCCS | AZ |