Individual
DR. TONY TIAN LIAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD.
Contact information
Practice address
163 N MARENGO AVE, #401, PASADENA, CA 91101-4509
(510) 875-3243
Mailing address
163 N MARENGO AVE, #401, PASADENA, CA 91101-4509
(510) 875-3243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
57935
CA
208600000X
Surgery Physician
MT201468
PA
Other
Enumeration date
06/09/2013
Last updated
09/02/2015
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