Organization
LI & NGUYEN DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINGJING LI (CEO)
(909) 908-8905
Entity
Organization
Contact information
Practice address
2707 E VALLEY BLVD STE 301, WEST COVINA, CA 91792-3198
(909) 908-8905
Mailing address
3333 S BREA CANYON RD STE 121, DIAMOND BAR, CA 91765-3783
(909) 869-1098
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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