Provider Demographics
NPI:1063894244
Name:YUHSIN LIAO,DDS,INC
Entity type:Organization
Organization Name:YUHSIN LIAO,DDS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUHSIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:LIAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-872-0076
Mailing Address - Street 1:2917 W VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-1820
Mailing Address - Country:US
Mailing Address - Phone:626-872-0076
Mailing Address - Fax:626-872-0075
Practice Address - Street 1:2917 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-1820
Practice Address - Country:US
Practice Address - Phone:626-872-0076
Practice Address - Fax:626-872-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA399781223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649311317OtherINDIVIDUAL NPI