| Justin H. Liao D.d.s. Inc. | |
|
825 W Las Tunas Dr San Gabriel CA 91776-1072 | |
| (626) 284-6706 | |
| Not Available |
| Full Name | Justin H. Liao D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 825 W Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Hsi Chung Liao (PRESIDENT) |
| Authorized Official Contact | 6266794091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin H. Liao D.d.s. Inc. Po Box 2004 San Gabriel CA 91778-2004 Ph: () - | Justin H. Liao D.d.s. Inc. 825 W Las Tunas Dr San Gabriel CA 91776-1072 Ph: (626) 284-6706 |
| NPI Number | 1700391810 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700391810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50634 (California) | Primary |
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