| Liebold Dental | |
|
210 11th St E Bottineau ND 58318-2052 | |
| (701) 228-2200 | |
| (701) 228-2222 |
| Full Name | Liebold Dental |
|---|---|
| Speciality | Dentist |
| Location | 210 11th St E, Bottineau, North Dakota |
| Authorized Official Name and Position | David A. Liebold (DIRECTOR) |
| Authorized Official Contact | 7012282200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liebold Dental Po Box 369 Bottineau ND 58318-0369 Ph: (701) 228-2200 | Liebold Dental 210 11th St E Bottineau ND 58318-2052 Ph: (701) 228-2200 |
| NPI Number | 1316483050 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316483050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | ND1758 (North Dakota) | Primary |