Individual
DANIIL LIBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 MOUNTAIN BLVD, SUITE 4, WARREN, NJ 07059-2622
(646) 932-1185
Mailing address
PO BOX 290149, BROOKLYN, NY 11229-0149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02425500
NJ
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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