Individual
LI CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 MALCOLM DR, WESTMINSTER, MD 21157-6115
(410) 848-4383
Mailing address
8529 WHITE WINTER CT, ELLICOTT CITY, MD 21043-6040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13073
MD
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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