# DONALD R. LIBERTY, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Foothills Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912281098
- **Authorized official:** DR. DONALD ROBERT LIBERTY D.D.S. (PRESIDENT)
- **Authorized official phone:** (916) 941-9860

## Contact information

- **Practice address:** 4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9636
- **Practice address phone:** (916) 941-9860
- **Practice address fax:** (916) 941-7165
- **Mailing address:** 4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9636
- **Mailing address phone:** (916) 941-9860
- **Mailing address fax:** (916) 941-7165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53466 | CA | Yes |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/06/2011