Provider Demographics
NPI:1568838373
Name:LI, YINA (DMD, PHD, MS)
Entity Type:Individual
Prefix:DR
First Name:YINA
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:DMD, PHD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2427
Mailing Address - Country:US
Mailing Address - Phone:734-818-8108
Mailing Address - Fax:734-436-0981
Practice Address - Street 1:2765 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2427
Practice Address - Country:US
Practice Address - Phone:734-818-8108
Practice Address - Fax:734-436-0981
Is Sole Proprietor?:No
Enumeration Date:2015-08-15
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010228571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics