| Dr Li Qian Dds Pllc | |
|
6104 Fayetteville Rd Ste 106 Durham NC 27713-6283 | |
| (919) 720-0698 | |
| Not Available |
| Full Name | Dr Li Qian Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6104 Fayetteville Rd Ste 106, Durham, North Carolina |
| Authorized Official Name and Position | Li Qian (MANAGER) |
| Authorized Official Contact | 9197200698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Li Qian Dds Pllc 6104 Fayetteville Rd Ste 106 Durham NC 27713-6283 Ph: (919) 720-0698 | Dr Li Qian Dds Pllc 6104 Fayetteville Rd Ste 106 Durham NC 27713-6283 Ph: (919) 720-0698 |
| NPI Number | 1295196418 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 5698182533 |
|---|---|
| Medicare Enrollment ID | O20210322001128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295196418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09727 (North Carolina) | Primary |
| Provider Name | Li Qian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548673809 PECOS PAC ID: 0941617898 Enrollment ID: I20210322001582 |
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