Organization
DAVID J LI DDS MS INC
Active
Other names
San Diego Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J LI DDS, MS, PC (ORTHODONTIST)
(858) 450-1334
Entity
Organization
Contact information
Practice address
3202 GOVERNOR DR STE 207, SAN DIEGO, CA 92122-2940
(858) 450-1334
(858) 450-2192
Mailing address
3202 GOVERNOR DR STE 207, SAN DIEGO, CA 92122-2940
(858) 450-1334
(858) 450-2192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225121734
PERSONAL NPI
—
Enumeration date
04/15/2008
Last updated
07/18/2013
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