Individual
BEI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
698 CRESCENT ST, BROCKTON, MA 02302-3360
(508) 583-2256
Mailing address
28 E SPRINGFIELD ST APT 1, BOSTON, MA 02118-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856717
MA
Other
Enumeration date
06/24/2014
Last updated
01/25/2019
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