Organization · Type 2 NPI
Alex Liao, Dds, Inc
Oral and Maxillofacial Surgery (Dentist) · Azusa, CA
NPI number
1265634000
Active
Practice location
680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Fax (626) 812-6634
Mailing address
680 E Alosta Ave #108
Azusa, CA 91702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 45136 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
About NPI 1265634000
Alex Liao, Dds, Inc's National Provider Identifier is 1265634000, issued on Jun 4, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Azusa, CA. The record was last updated on Aug 14, 2007.