Individual
MICHAEL C. LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29560 RANCHO CALIFORNIA RD STE 100, TEMECULA, CA 92591-5294
(617) 834-2683
Mailing address
PO BOX 2159, TEMECULA, CA 92593-2159
(617) 834-2683
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63355
CA
Other
Enumeration date
06/04/2013
Last updated
05/16/2014
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