Individual
DR. KYLE LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602-5005
(315) 772-6234
Mailing address
10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602-5005
(315) 772-6234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4403
ME
Other
Enumeration date
11/10/2014
Last updated
06/01/2016
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