Individual
DR. WEN JIA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 PACIFIC AVE SE STE A, OLYMPIA, WA 98501-2052
(360) 878-8002
Mailing address
1530 134TH AVE SE APT E205, BELLEVUE, WA 98005-8029
(917) 293-8968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60791888
WA
1223G0001X
General Practice Dentistry
Primary
DE60791888
WA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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