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Xiao Li
General Practice Dentistry in San Jose, California
NPI 1790211506

Xiao Li is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Xiao Li practices in San Jose, CA. The NPI Number for Xiao Li is 1790211506 and holds a License No. (California).

The current practice location address for Xiao Li is 1315 S Winchester Blvd, San Jose, CA and can be reached out via phone at 408-866-1819.

Location: 1315 S Winchester Blvd, San Jose, CA, 95128-4320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790211506
Provider Name
Xiao Li
Credential
Provider Entity Type
Individual
Gender
Female
Address
1315 S Winchester Blvd, San Jose, CA, 95128-4320
Phone Number
408-866-1819
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1315 S Winchester Blvd
City
San Jose
State
California
Zip
95128-4320
Phone Number
408-866-1819
Fax Number
person
Provider Business Mailing Address Details
Address
1315 S Winchester Blvd
City
San Jose
State
California
Zip
95128-4320
Phone Number
408-866-1819
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
102772 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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