Provider Demographics
NPI:1730485442
Name:LIAO, YEN-YO (DDS)
Entity Type:Individual
Prefix:DR
First Name:YEN-YO
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 TRINITY MILLS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7603
Mailing Address - Country:US
Mailing Address - Phone:972-248-9955
Mailing Address - Fax:
Practice Address - Street 1:4222 TRINITY MILLS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7603
Practice Address - Country:US
Practice Address - Phone:972-248-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice