Individual
CHARLES LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 W VALLEY BLVD, ALHAMBRA, CA 91803-2462
(626) 927-8872
Mailing address
1101 W VALLEY BLVD STE 205, ALHAMBRA, CA 91803-2472
(626) 927-8872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103934
CA
Other
Enumeration date
07/03/2019
Last updated
06/15/2020
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