Individual
DONALD R. LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762
(916) 941-9860
(916) 941-7165
Mailing address
4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9632
(916) 941-9860
(916) 941-7165
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53466
CA
Other
Enumeration date
11/01/2006
Last updated
07/19/2018
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