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Individual

DAVID MINGXI LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5150 GRAVES AVE STE 12G, SAN JOSE, CA 95129-5015
(408) 255-8545
Mailing address
5526 BIGOAK DR, SAN JOSE, CA 95129-3107

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7356
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103082
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/31/2016
Last updated
08/27/2024
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