# LI LLG DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivy Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871850818
- **Authorized official:** DR. DAVID Z LI D.M.D. (OWNER)
- **Authorized official phone:** (626) 445-8530

## Contact information

- **Practice address:** 301 W HUNTINGTON DR, STE. 520, ARCADIA, CA 91007-3462
- **Practice address phone:** (626) 445-8530
- **Practice address fax:** (626) 445-8540
- **Mailing address:** 301 W HUNTINGTON DR, STE. 520, ARCADIA, CA 91007-3462
- **Mailing address phone:** (626) 445-8530
- **Mailing address fax:** (626) 445-8540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 09/13/2012