Individual
LI HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39-15 MAIN STREET, SUITE 309, FLUSHING, NY 11354-5431
(718) 886-5391
(718) 358-4735
Mailing address
39-15 MAIN STREET, SUITE 309, FLUSHING, NY 11354-5431
(718) 886-5391
(718) 358-4735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045384
NY
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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