Alex Liao, Dds, Inc in Azusa - Oral And Maxillofacial Surgery
Alex Liao, Dds, Inc - NPI 1265634000
Alex Liao, Dds, Inc is a Oral And Maxillofacial Surgery in Azusa, California. Alex Liao, Dds, Inc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Alex Liao, Dds, Inc is 1265634000. The last update date is 2007-08-14.
Alex Liao, Dds, Inc's current location address is 680 E Alosta Ave #108, Azusa, California. You can contact this provider via phone number 6268126612 and fax number 6268126634. The mailing address for Alex Liao, Dds, Inc is 680 E Alosta Ave #108, Azusa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alex Liao, Dds, Inc |
|---|---|
| Address | 680 E Alosta Ave #108, Azusa, California |
| Phone Number | 6268126612 |
| Fax Number | 6268126634 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PUBLIC REL |
|---|---|
| Authorized Official Name | Fung Vikky |
| Telephone Number | 6268126612 |
NPI Number Detail
| NPI Number | 1265634000 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 680 E Alosta Ave #108 |
|---|---|
| City | Azusa |
| State | California (CA) |
| Post Code | 91702 |
| Phone Number | 6268126612 |
| Fax Number | 6268126634 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 45136 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45136 | CA | DENTISTRY |
Post Comment/ Review Below
What is the Alex Liao, Dds, Inc's 1265634000?
The Alex Liao, Dds, Inc's NPI (National Provider Identifier) Number is 1265634000. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alex Liao, Dds, Inc?
The Alex Liao, Dds, Inc is physically situated at 680 E Alosta Ave #108, in the city of Azusa, state of CA, with the postal code 91702.
What is the Alex Liao, Dds, Inc's area of specialization and corresponding taxonomy classification?
The Alex Liao, Dds, Inc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1265634000 to Alex Liao, Dds, Inc?
The Alex Liao, Dds, Inc received its 1265634000 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
As of what date were the details pertaining to Alex Liao, Dds, Inc last refreshed?
The information related to the Alex Liao, Dds, Inc, including its address, specialty, and other relevant details, was last updated on 2007-08-14.