Provider Demographics
NPI:1063030260
Name:LIANG, BOXIAO (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOXIAO
Middle Name:
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 1:1701 FAIRWAY DR STE 20
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-4678
Mailing Address - Country:US
Mailing Address - Phone:281-656-9484
Mailing Address - Fax:
Practice Address - Street 1:1701 FAIRWAY DR STE 20
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-4678
Practice Address - Country:US
Practice Address - Phone:281-656-9484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX362871223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice