Provider Demographics
NPI:1003170135
Name:LIANG, CHU KAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHU
Middle Name:KAI
Last Name:LIANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5924 BROOKSIDE OAK CIR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1752
Mailing Address - Country:US
Mailing Address - Phone:213-400-0595
Mailing Address - Fax:
Practice Address - Street 1:5924 BROOKSIDE OAK CIR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1752
Practice Address - Country:US
Practice Address - Phone:213-400-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist