Provider Demographics
NPI:1699824862
Name:FENG-CHIA LI DDS INC.
Entity Type:Organization
Organization Name:FENG-CHIA LI DDS INC.
Other - Org Name:ORAL CARE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:FENG-CHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-282-5898
Mailing Address - Street 1:1101 W VALLEY BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-2472
Mailing Address - Country:US
Mailing Address - Phone:626-282-5898
Mailing Address - Fax:626-282-5658
Practice Address - Street 1:1101 W VALLEY BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-2472
Practice Address - Country:US
Practice Address - Phone:626-282-5898
Practice Address - Fax:626-282-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty