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Organization
JINGYUAN LI DDS INC
Active
Organization
JINGYUAN LI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINGYUAN LI (OWNER)
(323) 722-6600
Entity
Organization
Contact information
Practice address
212 S ATLANTIC BLVD STE 103, LOS ANGELES, CA 90022-1776
(323) 722-6600
Mailing address
212 S ATLANTIC BLVD STE 103, LOS ANGELES, CA 90022-1776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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