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Alex Liao, Dds, Inc
Oral and Maxillofacial Surgery (Dentist) in Azusa, California
NPI 1265634000

Alex Liao, Dds, Inc is a Oral and Maxillofacial Surgery (Dentist) based in Azusa, CA and is specialized in Oral and Maxillofacial Surgery. Alex Liao, Dds, Inc practices in Azusa, CA. The NPI Number for Alex Liao, Dds, Inc is 1265634000 and holds a License No. 45136 (California).

The current practice location address for Alex Liao, Dds, Inc is 680 E Alosta Ave Ste 108, Azusa, CA and can be reached out via phone at 626-812-6612 and via fax at 626-812-6634.

Location: 680 E Alosta Ave Ste 108, Azusa, CA, 91702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265634000
Provider Name
Alex Liao, Dds, Inc
Credential
Provider Entity Type
Organization
Address
680 E Alosta Ave Ste 108, Azusa, CA, 91702
Phone Number
626-812-6612
Fax Number
626-812-6634
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45136 01 CA DENTISTRY
institution
Provider Business Practice Location Address Details
Address
680 E Alosta Ave Ste 108
City
Azusa
State
California
Zip
91702-2710
Phone Number
626-812-6612
Fax Number
626-812-6634
person
Provider Business Mailing Address Details
Address
680 E Alosta Ave Ste 108
City
Azusa
State
California
Zip
91702-2710
Phone Number
626-812-6612
Fax Number
626-812-6634
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
45136 (California)
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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