Individual
DR. SAMUEL LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
469 BUCKLAND RD, SOUTH WINDSOR, CT 06074
(860) 644-2136
Mailing address
162 BEELZEBUB RD, SOUTH WINDSOR, CT 06074-2279
(917) 723-0403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010813
CT
Other
Enumeration date
06/23/2011
Last updated
07/12/2018
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