Individual
DR. ANNA LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-7675
Mailing address
4326 PINEHURST BLVD, SOUTHAVEN, MS 38672-6687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61304113
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
07/02/2024
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