| Chun Yao Liao Dental Corporation | |
|
2420 S Azusa Ave West Covina CA 91792-1512 | |
| (626) 810-2691 | |
| (626) 839-0088 |
| Full Name | Chun Yao Liao Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2420 S Azusa Ave, West Covina, California |
| Authorized Official Name and Position | Chun Yao Liao (DENTIST) |
| Authorized Official Contact | 6268102691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chun Yao Liao Dental Corporation 2420 S Azusa Ave West Covina CA 91792-1512 Ph: (626) 810-2691 | Chun Yao Liao Dental Corporation 2420 S Azusa Ave West Covina CA 91792-1512 Ph: (626) 810-2691 |
| NPI Number | 1043613953 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043613953 | NPI | - | NPPES |
| 37443 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37443 (California) | Primary |
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