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Individual
DR. JUSTIN LIGGETT
Active
Individual
DR. JUSTIN LIGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060300
NY
122300000X
Dentist
Primary
105682
CA
122300000X
Dentist
D13543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05652653
—
NY
Enumeration date
08/12/2015
Last updated
05/07/2021
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