OrganizationActive
Kuei Shu Liao D.d.s.inc
NPI 1609916956 · Oral and Maxillofacial Pathology Dentistry · Azusa, CA
Provider details
- NPI number
- 1609916956
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kuei Liao, President(626) 812-6612
- License
- 45136 (CA)
Specialties & taxonomies
Dental Providers
Practice location
680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Phone: (626) 812-6612
Approximate (ZIP-level) locationGet directions
Mailing address
680 E Alosta Ave Ste 108
Azusa, CA 91702-2710
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.