Provider Demographics
NPI:1215069554
Name:LI, HERBERT H (DDS)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:H
Last Name:LI
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:11 E BROADWAY
Mailing Address - Street 2:13TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1013
Mailing Address - Country:US
Mailing Address - Phone:212-227-3088
Mailing Address - Fax:212-227-3866
Practice Address - Street 1:11 E BROADWAY
Practice Address - Street 2:13TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1013
Practice Address - Country:US
Practice Address - Phone:212-227-3088
Practice Address - Fax:212-227-3866
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2016-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0430971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice