Provider Demographics
NPI:1225512551
Name:LIANG, WINNIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WINNIE
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 N RURAL DR APT G
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-1300
Mailing Address - Country:US
Mailing Address - Phone:626-757-4621
Mailing Address - Fax:
Practice Address - Street 1:65 N MADISON AVE STE 506
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2048
Practice Address - Country:US
Practice Address - Phone:626-795-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-22
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1031611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice