Tung, Su Hsin Liao

Tung, Su Hsin Liao is an individual health care provider with primary practice located at 503 Cedar St , Tipton IA 52772-1738. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tung, Su Hsin Liao can be contacted via phone (563) 886-3233.

Contact Information

Primary practice address
503 Cedar St Tipton IA 52772-1738
Phone: (563) 886-3233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6194 Iowa

Profile Details

NPI number 1477621548
LBN Legal business name Tung, Su Hsin Liao
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1477621548 NPPES
Iowa MEDICAID 0140582

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