Organization
MIKE LI, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE LI D.D.S. (PRESIDENT)
(415) 753-6161
Entity
Organization
Contact information
Practice address
1108 VICENTE ST, SUITE 104, SAN FRANCISCO, CA 94116-3042
(415) 753-6161
Mailing address
1108 VICENTE ST, SUITE 104, SAN FRANCISCO, CA 94116-3042
(415) 753-6161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52636
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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