Provider Demographics
NPI:1003876780
Name:LIAO, HUNG-CHE BRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUNG-CHE
Middle Name:BRIAN
Last Name:LIAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRIAN
Other - Middle Name:H
Other - Last Name:LIAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:919 124TH AVE NE STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2511
Mailing Address - Country:US
Mailing Address - Phone:425-454-1622
Mailing Address - Fax:
Practice Address - Street 1:919 124TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2511
Practice Address - Country:US
Practice Address - Phone:425-589-2113
Practice Address - Fax:425-589-2113
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60981650122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist