Individual
DR. JEAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
15543
MD
1223P0300X
Periodontics
2901029333
MI
1223P0300X
Periodontics
Primary
DEN1001320
DC
Other
Enumeration date
08/24/2011
Last updated
10/20/2020
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