Individual
JACOB LEIBOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
175 TEQUESTA DR, TEQUESTA, FL 33469
(561) 427-0420
(561) 427-0422
Mailing address
9146 DELEMAR COURT, WELLINGTON, FL 33414
(561) 333-3757
(561) 427-0422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14459
FL
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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