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Organization
MARK B LIEBERMAN DDS INC
Active
Organization
MARK B LIEBERMAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B LIEBERMAN DDS (PRESIDENT)
(310) 826-7863
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1001, LOS ANGELES, CA 90025-1708
(310) 826-7863
(310) 820-6163
Mailing address
11645 WILSHIRE BLVD, SUITE 1001, LOS ANGELES, CA 90025-1708
(310) 826-7863
(310) 820-6163
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22637
CA
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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