Provider Demographics
NPI:1235379488
Name:LIAO, HUA-YU STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUA-YU STEVEN
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1717
Mailing Address - Country:US
Mailing Address - Phone:862-247-8030
Mailing Address - Fax:862-247-8032
Practice Address - Street 1:147 MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1717
Practice Address - Country:US
Practice Address - Phone:862-247-8030
Practice Address - Fax:862-247-8032
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-01
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023832001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice