Provider Demographics
NPI:1164179248
Name:HUNG-CHE BRIAN LIAO, DDS, PLLC
Entity Type:Organization
Organization Name:HUNG-CHE BRIAN LIAO, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG-CHE
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:LIAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-589-2113
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:425-454-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental