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Individual

DR. MICHAEL BRIAN LIEBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
35305 VALLEY FORGE DR, FARMINGTON HILLS, MI 48331-3216
(248) 320-8540
Mailing address
2000 BROADWAY APT 20B, NEW YORK, NY 10023-5043
(248) 320-8540

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019029781
IL
122300000X
Dentist
2901021171
MI
1223P0221X
Pediatric Dentistry
021002603
IL
1223P0221X
Pediatric Dentistry
Primary
060287
NY
1223P0221X
Pediatric Dentistry
DS040221
PA

Other

Enumeration date
07/16/2012
Last updated
08/20/2019
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