Individual
DR. GREGORY ROBERT LIBERATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2911 STATE ROUTE 9, BALLSTON SPA, NY 12020-3975
(518) 580-9570
(518) 580-9574
Mailing address
2911 STATE ROUTE 9, BALLSTON SPA, NY 12020-3975
(518) 580-9570
(518) 580-9574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045930
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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