Individual
DR. CAITLIN LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 W GROVE ST, CLARKS SUMMIT, PA 18411-2062
(570) 587-4787
Mailing address
103 W GROVE ST, CLARKS SUMMIT, PA 18411-2062
(570) 587-4787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4342
WV
1223P0700X
Prosthodontics
Primary
DS043477
PA
Other
Enumeration date
09/05/2018
Last updated
04/05/2022
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