Organization
AI DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEN-YO LIAO (OWNER)
(972) 248-9955
Entity
Organization
Contact information
Practice address
4222 TRINITY MILLS RD STE 240, DALLAS, TX 75287-7659
(972) 248-9955
(972) 248-4433
Mailing address
4222 TRINITY MILLS RD STE 240, DALLAS, TX 75287-7659
(972) 248-9955
(972) 248-4433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282330402
—
TX
Enumeration date
09/06/2018
Last updated
09/06/2018
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