Individual
AMY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
149 YADKIN VALLEY RD STE 101, ADVANCE, NC 27006-8782
(336) 998-1706
Mailing address
14 LILAC CT, ACTON, MA 01720-4406
(678) 350-6396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10749
NC
Other
Enumeration date
07/07/2017
Last updated
12/09/2019
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