Most Relevant Information
Provider Data
| NPI Number: | 1003652298 |
| Provider Name: | LIANG SHAO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2024 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
150 55TH ST
BROOKLYN
NY
112202508
Practice Location Phone/Fax
| Phone: | 7186307000 |
| Fax: |
Provider Mailing Location
300 ASHLAND PL APT 20P
BROOKLYN
NY
112174087
Provider Mailing Phone/Fax
| Phone: | 3478633635 |
| Fax: |