Organization
CHUN YAO LIAO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUN YAO LIAO D.D.S (DENTIST)
(626) 810-2691
Entity
Organization
Contact information
Practice address
2420 S AZUSA AVE, WEST COVINA, CA 91792-1512
(626) 810-2691
(626) 839-0088
Mailing address
2420 S AZUSA AVE, WEST COVINA, CA 91792-1512
(626) 810-2691
(626) 839-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37443
MEDICAL
CA
Enumeration date
10/06/2014
Last updated
10/06/2014
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