| Liberty Dental, Plc | |
|
3688 W Liberty Rd Ann Arbor MI 48103-9056 | |
| (734) 665-0481 | |
| (734) 665-9134 |
| Full Name | Liberty Dental, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3688 W Liberty Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kristin Elizabeth Johnson (OWNER) |
| Authorized Official Contact | 7346650481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental, Plc 3688 W Liberty Rd Ann Arbor MI 48103-9056 Ph: (734) 665-0481 | Liberty Dental, Plc 3688 W Liberty Rd Ann Arbor MI 48103-9056 Ph: (734) 665-0481 |
| NPI Number | 1114182862 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114182862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017534 (Michigan) | Primary |
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