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Organization
LI&WEN DENTAL CORPORATION
Active
Organization
LI&WEN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY XINWEI LI DDS (DENTIST)
(626) 445-2178
Entity
Organization
Contact information
Practice address
945 W DUARTE RD, MONROVIA, CA 91016-4306
(626) 445-2178
(626) 425-9518
Mailing address
945 W DUARTE RD, MONROVIA, CA 91016-4306
(626) 445-2178
(626) 425-9518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47934
CA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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