Individual
JEFFREY LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 SUNSET WAY, HENDERSON, NV 89014-2333
(702) 990-4433
Mailing address
240 CHICAGO AVE APT 502, MINNEAPOLIS, MN 55415-2238
(651) 353-5300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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