Organization
DRS. ED & SUE LIEBENTHAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD W. LIEBENTHAL D.D.S. (OWNER)
(269) 621-6441
Entity
Organization
Contact information
Practice address
19 W.SOUTH ST., HARTFORD, MI 49057
(269) 621-6441
Mailing address
19 W.SOUTH ST., HARTFORD, MI 49057
(269) 621-6441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MI14227
MI
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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