Individual
DR. SUSAN R LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
(860) 679-1899
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
(860) 679-1899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007194
CT
Other
Enumeration date
01/08/2013
Last updated
02/23/2015
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