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Individual

DR. KENNETH K LIAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
1229 BROADWAY, HEWLETT, NY 11557-2014
(516) 374-0685
(516) 374-0694
Mailing address
1229 BROADWAY, HEWLETT, NY 11557-2014
(516) 374-0685
(516) 374-0694

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38965
NY

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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