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Organization
LIBBY DENTAL
Active
Organization
LIBBY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA A COOPER (INSURANCE COORDINATOR)
(907) 947-7193
Entity
Organization
Contact information
Practice address
2333 CAMINO DEL RIO S STE 310, SAN DIEGO, CA 92108-3615
(619) 276-6884
(619) 431-5354
Mailing address
2333 CAMINO DEL RIO S STE 310, SAN DIEGO, CA 92108-3615
(619) 276-6884
(619) 431-5354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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