Individual
ANNI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
177 TREMONT ST FL 6, BOSTON, MA 02111-1020
(617) 426-5662
Mailing address
177 TREMONT ST FL 6, BOSTON, MA 02111-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15279
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
07/21/2023
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