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Individual

JUSTIN LIBBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3920 LAKE OTIS PKWY, SUITE A, ANCHORAGE, AK 99508-5210
(907) 274-2659
(907) 277-4782
Mailing address
3920 LAKE OTIS PKWY, SUITE A, ANCHORAGE, AK 99508-5210
(907) 274-2659
(907) 277-4782

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8029310
UT

Other

Enumeration date
08/23/2011
Last updated
07/23/2013
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