Liang, Tracy Miao

Liang, Tracy Miao is an individual health care provider with primary practice located at 515 Delaware St Se # 320 , Minneapolis MN 55455-0357. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Liang, Tracy Miao can be contacted via phone (612) 625-6444.

Contact Information

Primary practice address
515 Delaware St Se # 320 Minneapolis MN 55455-0357
Phone: (612) 625-6444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X R779 Minnesota

Profile Details

NPI number 1619595220
LBN Legal business name Liang, Tracy Miao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jul 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619595220 NPPES
Minnesota Other R779 MINNESOTA BOARD OF DENTISTRY

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