Organization
JANICE T. LIAO D.D.S PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE T LIAO D.D.S (OWNER)
(480) 461-3400
Entity
Organization
Contact information
Practice address
1440 S COUNTRY CLUB DR STE 23, MESA, AZ 85210-9704
(480) 461-3400
(480) 461-1747
Mailing address
1440 S COUNTRY CLUB DR STE 23, MESA, AZ 85210-9704
(480) 461-3400
(480) 461-1747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526121
AHCCS
AZ
Enumeration date
07/02/2007
Last updated
11/21/2007
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