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Individual

MR. LI FENG PETER CAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
31775 STATE ROUTE 20 # A1, OAK HARBOR, WA 98277
(360) 675-7573
(360) 679-8896
Mailing address
31775 STATE ROUTE 20 # A1, OAK HARBOR, WA 98277
(360) 675-7573
(360) 679-8896

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
LL-393-15
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2080759
WA
Enumeration date
07/29/2015
Last updated
07/21/2022
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