Provider Demographics
NPI:1760891543
Name:LI MIN HOU, DDS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:LI MIN HOU, DDS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LI
Authorized Official - Middle Name:MIN
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-223-2989
Mailing Address - Street 1:1627 HILLTOP DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0252
Mailing Address - Country:US
Mailing Address - Phone:530-223-2989
Mailing Address - Fax:530-223-2954
Practice Address - Street 1:1627 HILLTOP DR
Practice Address - Street 2:SUITE A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0252
Practice Address - Country:US
Practice Address - Phone:530-223-2989
Practice Address - Fax:530-223-2954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46938122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty