Provider Demographics
NPI:1659602993
Name:LI, DONGFANG (DDS)
Entity Type:Individual
Prefix:
First Name:DONGFANG
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DONGFANG
Other - Middle Name:LIA
Other - Last Name:THUROW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8880 BELLAIRE BLVD
Mailing Address - Street 2:STE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4621
Mailing Address - Country:US
Mailing Address - Phone:281-888-5150
Mailing Address - Fax:281-888-5584
Practice Address - Street 1:8880 BELLAIRE BLVD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4621
Practice Address - Country:US
Practice Address - Phone:281-888-5150
Practice Address - Fax:281-888-5584
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23786122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist