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Individual

JING LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18010 8TH AVE S STE 416, SEATAC, WA 98148-1908
(206) 812-2460
(206) 812-2455
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61500469
WA
1223G0001X
General Practice Dentistry
DE61500469
WA

Other

Enumeration date
08/02/2024
Last updated
02/03/2025
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