| Kuei Shu Liao D.d.s.inc | |
|
680 E Alosta Ave Ste 108 Azusa CA 91702-2710 | |
| (626) 812-6612 | |
| Not Available |
| Full Name | Kuei Shu Liao D.d.s.inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 680 E Alosta Ave Ste 108, Azusa, California |
| Authorized Official Name and Position | Kuei Shu Liao (PRESIDENT) |
| Authorized Official Contact | 6268126612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuei Shu Liao D.d.s.inc 680 E Alosta Ave Ste 108 Azusa CA 91702-2710 Ph: (626) 812-6612 | Kuei Shu Liao D.d.s.inc 680 E Alosta Ave Ste 108 Azusa CA 91702-2710 Ph: (626) 812-6612 |
| NPI Number | 1609916956 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609916956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 45136 (California) | Primary |
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U Smile Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 E Alosta Ave Ste 108, Azusa, CA 91702 Phone: 626-812-6612 Fax: 626-812-6634 | |
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