Provider Demographics
NPI:1447885124
Name:LIANGKAI WENG DDS HANOVER LLC
Entity type:Organization
Organization Name:LIANGKAI WENG DDS HANOVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANGKAI
Authorized Official - Middle Name:
Authorized Official - Last Name:WENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-629-5894
Mailing Address - Street 1:8114 SANDPIPER CIR STE 210
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5902
Mailing Address - Country:US
Mailing Address - Phone:410-931-9400
Mailing Address - Fax:410-931-9510
Practice Address - Street 1:7696 DORCHESTER BLVD STE 1
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1767
Practice Address - Country:US
Practice Address - Phone:410-931-9400
Practice Address - Fax:410-931-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty