Individual
AMY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
145 SOUTH ST, SOUTH COVE COMMUNITY HEALTH CENTER, BOSTON, MA 02111-2826
(617) 521-6760
Mailing address
145 SOUTH ST, SOUTH COVE COMMUNITY HEALTH CENTER, BOSTON, MA 02111-2826
(617) 521-6760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1855750
MA
Other
Enumeration date
06/28/2010
Last updated
10/20/2011
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