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Organization
JUSTIN H. LIAO D.D.S. INC.
Active
Organization
JUSTIN H. LIAO D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HSI CHUNG LIAO D.D.S. (PRESIDENT)
(626) 679-4091
Entity
Organization
Contact information
Practice address
825 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1072
(626) 284-6706
Mailing address
PO BOX 2004, SAN GABRIEL, CA 91778-2004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50634
CA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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