Provider Demographics
NPI:1508828021
Name:LIAO, JANICE CHIA-CHEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:CHIA-CHEN
Last Name:LIAO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 DUBLIN BLVD
Mailing Address - Street 2:SUITE K
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3162
Mailing Address - Country:US
Mailing Address - Phone:925-833-2501
Mailing Address - Fax:925-833-2503
Practice Address - Street 1:6601 DUBLIN BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3162
Practice Address - Country:US
Practice Address - Phone:925-833-2501
Practice Address - Fax:925-833-2503
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist