NPI | 1003876780 |
---|---|
Other Name | BRIAN H LIAO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60981650) |
Additional Taxonomies | 122300000X Dentist (Licence: WA 60981650) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2022-03-08 |