Individual
DR. MARK B LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223P0300X
Periodontics
Primary
22637
CA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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