Individual
DR. CHUAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 N FRONT ST STE 50, PHILADELPHIA, PA 19120
(617) 372-3902
Mailing address
2300N MAYFAIR RD 920, WAUWATOSA, WI 53226-1519
(414) 257-1230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6488-15
WI
Other
Enumeration date
07/06/2009
Last updated
11/19/2015
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