Organization
LI LLG DENTAL CORPORATION
Active
Other names
Ivy Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID Z LI D.M.D. (OWNER)
(626) 445-8530
Entity
Organization
Contact information
Practice address
301 W HUNTINGTON DR, STE. 520, ARCADIA, CA 91007-3462
(626) 445-8530
(626) 445-8540
Mailing address
301 W HUNTINGTON DR, STE. 520, ARCADIA, CA 91007-3462
(626) 445-8530
(626) 445-8540
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
09/13/2012
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