Individual
DIANA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33001 BATTALION AVE., FT. HOOD, TX 76544
(254) 287-3319
Mailing address
33001 BATTALION AVE., FT. HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857294
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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