Individual
DAISI LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
837 58TH ST, BROOKLYN, NY 11220-3662
(718) 686-8886
Mailing address
7004 BOULEVARD E, APT 31G, GUTTENBERG, NJ 07093-5029
(646) 667-6105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057942
NY
Other
Enumeration date
02/06/2014
Last updated
04/04/2017
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