Individual
KYLE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 LANDMARK DR STE 124, GLEN BURNIE, MD 21061-4987
(410) 768-0550
Mailing address
14103 CHINKAPIN DR, ROCKVILLE, MD 20850-7404
(240) 813-5750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18156
MD
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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