Individual
DR. BENN LARKIN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
105 S BEDFORD RD, SUITE 330, MOUNT KISCO, NY 10549-3441
(914) 242-1142
(914) 242-1147
Mailing address
105 S BEDFORD RD, SUITE 330, MOUNT KISCO, NY 10549-3441
(914) 242-1142
(914) 242-1147
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
051590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587699
—
NY
Enumeration date
01/08/2007
Last updated
12/09/2009
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