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General NPI Number Information
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NPI Number | 1285071746
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Entity Type | Organization
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Legal Business Name | DLI DENTAL P.A.
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 06/24/2023
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Provider Practice Location Address
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Address Line | 8880 BELLAIRE BLVD STE F
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City | HOUSTON
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State | TX
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Zip | 77036-4621
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Country | US
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Telephone | 281-888-5150
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Fax | 281-888-5584
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Provider Business Mailing Address
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Address Line | 8880 BELLAIRE BLVD STE F
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City | HOUSTON
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State | TX
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Zip | 77036-4621
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Country | US
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Telephone | 281-888-5150
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Fax | 281-888-5584
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. DONGFANG LI
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Credential | DDS
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Telephone | 281-888-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23786
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License Number State | TX
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