Individual
WEICHUN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
85 RIVER ST # 65292, WALTHAM, MA 02453-8300
(781) 891-7737
Mailing address
147 SUMMER ST APT 11, WALTHAM, MA 02452-5626
(617) 800-6175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856709
MA
Other
Enumeration date
07/11/2014
Last updated
01/26/2015
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