Individual
DR. HAITAO LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S., PHD
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-7500
(954) 262-1782
Mailing address
2102 SHINNECOCK HILLS WAY, CORAL SPRINGS, FL 33071-7703
(860) 729-8960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
TEACHING PERMIT
FL
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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