Provider Demographics
NPI:1366513202
Name:LIANG, LIXIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LIXIAN
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 CANAL ST
Mailing Address - Street 2:#402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4531
Mailing Address - Country:US
Mailing Address - Phone:212-766-2128
Mailing Address - Fax:
Practice Address - Street 1:198 CANAL ST
Practice Address - Street 2:#402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4531
Practice Address - Country:US
Practice Address - Phone:212-766-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0448421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics