Individual
JINGJING LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19778 PROSPECT PL, WALNUT, CA 91789-5359
(323) 365-5603
Mailing address
19778 PROSPECT PL, WALNUT, CA 91789-5359
(323) 365-5603
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
56851
CA
Other
Enumeration date
02/10/2009
Last updated
06/23/2010
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