Provider Demographics
NPI:1104457845
Name:HOWARD LIANG DDS A PROFESSIONAL CORP
Entity type:Organization
Organization Name:HOWARD LIANG DDS A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-965-6898
Mailing Address - Street 1:2707 E VALLEY BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3197
Mailing Address - Country:US
Mailing Address - Phone:626-965-6898
Mailing Address - Fax:626-965-6896
Practice Address - Street 1:2707 E VALLEY BLVD STE 202
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3197
Practice Address - Country:US
Practice Address - Phone:626-965-6898
Practice Address - Fax:626-965-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty