MEDICARE: DR. HOWARD C LIANG DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	DS037696	PA
2	1223E0200X	Endodontics	57142	CA

General Provider Information

NPI Number	:	1548414147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD C LIANG DDS

Provider Business Mailing Address
First Line	:	2707 E VALLEY BLVD STE 202
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91792-3197
Country	:	US
Telephone Number	:	626-965-6898
Fax Number	:

Provider Business Practice Location Address
First Line	:	2707 E VALLEY BLVD STE 202
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91792-3197
Country	:	US
Telephone Number	:	626-965-6898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	02/21/2020

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