Individual
PEIXI LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST., G200, BOSTON, MA 02118-0211
(617) 638-4703
Mailing address
34 RIVERS LN, MELROSE, MA 02176-2508
(617) 756-2099
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DF11661
MA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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