Organization
ALEX LIAO, DDS, INC
Active
Other names
u smile dental office
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIKKY FUNG (PUBLIC RELATIONS)
(626) 812-6612
Entity
Organization
Contact information
Practice address
680 E ALOSTA AVE STE 108, AZUSA, CA 91702-2710
(626) 812-6612
(626) 812-6634
Mailing address
680 E ALOSTA AVE #108, AZUSA, CA 91702
(626) 812-6612
(626) 812-6634
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
45136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45136
DENTISTRY
CA
Enumeration date
06/04/2007
Last updated
08/14/2007
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