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General NPI Number Information
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NPI Number | 1114785755
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Entity Type | Organization
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Legal Business Name | HOWARD LIANG DENTAL CORP
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 675 S 2ND AVE
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City | COVINA
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State | CA
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Zip | 91723-3518
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Country | US
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Telephone | 626-593-5522
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Fax | 626-593-5525
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Provider Business Mailing Address
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Address Line | 675 S 2ND AVE
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City | COVINA
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State | CA
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Zip | 91723-3518
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Country | US
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Telephone | 626-593-5522
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Fax | 626-593-5525
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Authorized Official
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Title or Position | OWNER/ENDODONTIST
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Name | HOWARD LIANG
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Credential | DDS
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Telephone | 626-376-0983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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