Individual
DR. GREGORY R LIEBSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10961 CLUB PARKWAY NE, SUITE 240, BLAINE, MN 55449
(763) 780-1292
(952) 967-5311
Mailing address
PO BOX 1309, MAIL CODE 21113A, MINNEAPOLIS, MN 55440-1309
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10305
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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