Provider Demographics
NPI:1407048143
Name:JANICE C.LIAO, D.M.D. & GEORGE T.SHIAO, D.M.D., INC.
Entity Type:Organization
Organization Name:JANICE C.LIAO, D.M.D. & GEORGE T.SHIAO, D.M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIAO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-833-2501
Mailing Address - Street 1:6990 VILLAGE PKWY
Mailing Address - Street 2:SUITE #210
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2438
Mailing Address - Country:US
Mailing Address - Phone:925-833-2501
Mailing Address - Fax:925-833-2503
Practice Address - Street 1:6990 VILLAGE PKWY
Practice Address - Street 2:SUITE #210
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2438
Practice Address - Country:US
Practice Address - Phone:925-833-2501
Practice Address - Fax:925-833-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty