Provider Demographics
NPI:1336541283
Name:LIANG, WAN-TING JUDY (DDS)
Entity Type:Individual
Prefix:
First Name:WAN-TING
Middle Name:JUDY
Last Name:LIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 RINGROSE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2942
Mailing Address - Country:US
Mailing Address - Phone:281-760-7078
Mailing Address - Fax:
Practice Address - Street 1:4316 RINGROSE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2942
Practice Address - Country:US
Practice Address - Phone:281-760-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30495122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist