Individual
DR. HAOTING ZHANG TIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
208 W 19TH AVE, GULF SHORES, AL 36542-3041
(251) 968-8789
Mailing address
8832 CALVERTON ST, FOLEY, AL 36535-0182
(352) 810-5686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007227-C1
AL
122300000X
Dentist
DN28378
FL
1223G0001X
General Practice Dentistry
D.007227-C1
AL
124Q00000X
Dental Hygienist
DH23682
FL
Other
Enumeration date
07/12/2023
Last updated
04/05/2024
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