Individual
MS. SICONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7625 MAPLE LAWN BLVD STE 155, FULTON, MD 20759-2598
(443) 393-3988
Mailing address
1730 E EAGER ST, BALTIMORE, MD 21205-1112
(314) 583-9613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17071
MD
Other
Enumeration date
06/03/2019
Last updated
11/12/2025
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