Organization
LIEBOLD DENTAL PLLC
Active
Other names
Liebold Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. LIEBOLD DDS (DIRECTOR)
(701) 228-2200
Entity
Organization
Contact information
Practice address
210 11TH ST E, BOTTINEAU, ND 58318-2052
(701) 228-2200
(701) 228-2222
Mailing address
PO BOX 369, BOTTINEAU, ND 58318-0369
(701) 228-2200
(701) 228-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ND1758
ND
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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