Individual
ANDY YUANZHE LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2154 GOODMAN RD W # 1, HORN LAKE, MS 38637-1303
(662) 393-9200
Mailing address
232 BROOK AVE, STARKVILLE, MS 39759-4343
(662) 418-1238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111178
MS
Other
Enumeration date
11/08/2024
Last updated
06/13/2025
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