Provider Demographics
NPI:1821469610
Name:LILI XU, DDS, APC
Entity Type:Organization
Organization Name:LILI XU, DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LILI
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-663-6098
Mailing Address - Street 1:388 9TH ST
Mailing Address - Street 2:210
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4287
Mailing Address - Country:US
Mailing Address - Phone:510-893-5708
Mailing Address - Fax:
Practice Address - Street 1:388 9TH ST
Practice Address - Street 2:210
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4287
Practice Address - Country:US
Practice Address - Phone:510-893-5708
Practice Address - Fax:510-663-6098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LILI XU, DDS, APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45059261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental