Individual provider · Type 1 NPI

Jeffrey Liao, DDS

Student in an Organized Health Care Education/Training Program · Henderson, NV

NPI number 1619615382 Active

Practice location

11 Sunset Way
Henderson, NV 89014-2333

Mailing address

240 Chicago Ave Apt 502
Minneapolis, MN 55415-2238

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619615382

Jeffrey Liao, DDS's National Provider Identifier is 1619615382, issued on May 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Henderson, NV. The record was last updated on May 23, 2022.