Provider Demographics
NPI:1861862260
Name:BILLY S LIANG DDS A PROFESSIONAL CORP
Entity Type:Organization
Organization Name:BILLY S LIANG DDS A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-627-0913
Mailing Address - Street 1:4091 RIVERSIDE DR
Mailing Address - Street 2:#108
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-6501
Mailing Address - Country:US
Mailing Address - Phone:909-627-0913
Mailing Address - Fax:909-627-4610
Practice Address - Street 1:4091 RIVERSIDE DR
Practice Address - Street 2:#108
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-6501
Practice Address - Country:US
Practice Address - Phone:909-627-0913
Practice Address - Fax:909-627-4610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty