Individual
ALANNA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4211 KISSENA BLVD, 1D, FLUSHING, NY 11355-3223
(718) 353-5504
Mailing address
4211 KISSENA BLVD, 1D, FLUSHING, NY 11355-3223
(718) 353-5504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057952
NY
Other
Enumeration date
02/02/2015
Last updated
08/07/2015
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