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Organization
LI'S DENTAL CORPORATION
Active
Organization
LI'S DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID Y LI DDS (OWNER)
(510) 893-5678
Entity
Organization
Contact information
Practice address
1018 WEBSTER ST, OAKLAND, CA 94607-4224
(510) 893-5678
(510) 893-2431
Mailing address
1018 WEBSTER ST, OAKLAND, CA 94607-4224
(510) 893-5678
(510) 893-2431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93968-01
MEDICAL
CA
Enumeration date
04/07/2007
Last updated
07/26/2018
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