Individual
DR. BOWEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12001 RICHMOND AVE #1, APT 626, HOUSTON, TX 77082
(716) 860-9415
Mailing address
10701 VISTA DEL SOL DR APT 177, EL PASO, TX 79935-4519
(716) 860-9415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29153
TX
1223G0001X
General Practice Dentistry
Primary
29153
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2012
Last updated
02/05/2018
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