Individual
WEN FENG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 NE 7TH ST, GRANTS PASS, OR 97526-1445
(541) 956-4197
Mailing address
1228 NE 7TH ST, GRANTS PASS, OR 97526-1445
(541) 956-4197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11177
OR
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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