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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