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Organization
SMILE LI DENTAL
Active
Organization
SMILE LI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SICONG LI DMD (DENTIST)
(443) 393-3988
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD STE 155, FULTON, MD 20759-2598
(443) 393-3988
Mailing address
7625 MAPLE LAWN BLVD STE 155, FULTON, MD 20759-2598
(443) 393-3988
(443) 393-3986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
11/12/2025
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