| George Shiao, Dmd | |
|
2160 W Grant Line Rd Suite 220 Tracy CA 95377-7330 | |
| (209) 835-8754 | |
| Not Available |
| Full Name | George Shiao, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 2160 W Grant Line Rd, Tracy, California |
| Authorized Official Name and Position | Janice Liao (VICE PRESIDENT) |
| Authorized Official Contact | 9256409546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Shiao, Dmd 2160 W Grant Line Rd Suite 220 Tracy CA 95377-7330 Ph: (209) 835-8754 | George Shiao, Dmd 2160 W Grant Line Rd Suite 220 Tracy CA 95377-7330 Ph: (209) 835-8754 |
| NPI Number | 1902200066 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902200066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50949 (California) | Primary |
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