Provider Demographics
NPI:1043366826
Name:LIANG, JOYCE C (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:C
Last Name:LIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:CHYOUNG SHIA
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:555 W LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1134
Mailing Address - Country:US
Mailing Address - Phone:626-576-7616
Mailing Address - Fax:626-457-9242
Practice Address - Street 1:555 W LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1134
Practice Address - Country:US
Practice Address - Phone:626-576-7616
Practice Address - Fax:626-457-9242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice