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Organization

LIBERTY FAMILY DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMON IVAN LUGO DMD (FOUNDER)
(267) 226-6070
Entity
Organization

Contact information

Practice address
104 FULTON AVE FL 2, POUGHKEEPSIE, NY 12603-2808
(267) 226-6070
Mailing address
104 FULTON AVE FL 2, POUGHKEEPSIE, NY 12603-2808
(267) 226-6070

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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