Individual
DR. WENDY PEIWEN LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2525 SANTA CLARA AVE, ALAMEDA, CA 94501
(510) 865-1114
(510) 227-6212
Mailing address
2525 SANTA CLARA AVE, ALAMEDA, CA 94501
(510) 865-1114
(510) 227-6212
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
53818
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
53818
CA
Other
Enumeration date
06/20/2008
Last updated
05/01/2018
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