MEDICARE: DANIEL LIANG DENTAL CORPORATION

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1902735129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL LIANG DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	2460 N PONDEROSA DR STE A100
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-2375
Country	:	US
Telephone Number	:	949-231-7061
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 N PONDEROSA DR STE A100
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-2375
Country	:	US
Telephone Number	:	949-231-7061
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. KAREN LAI LIANG
Credential	:	DDS
Telephone Number	:	949-231-7061

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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