Individual
MINDY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1912 E HEBRON PKWY STE 104, CARROLLTON, TX 75007-1532
(972) 394-2140
Mailing address
1536 CEDARMONT ST, HACIENDA HEIGHTS, CA 91745-3118
(415) 205-2627
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
34350
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
09/26/2018
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