Organization
KUEI SHU LIAO D.D.S.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUEI SHU LIAO DDS (PRESIDENT)
(626) 812-6612
Entity
Organization
Contact information
Practice address
680 E ALOSTA AVE STE 108, AZUSA, CA 91702-2710
(626) 812-6612
Mailing address
680 E ALOSTA AVE STE 108, AZUSA, CA 91702-2710
(626) 812-6612
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
45136
CA
Other
Enumeration date
02/07/2007
Last updated
07/20/2007
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