Individual
ALDEN MARVIN LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
24924 MICHIGAN AVE, DEARBORN, MI 48124-1740
(313) 274-8522
(313) 274-5396
Mailing address
24924 MICHIGAN AVE, DEARBORN, MI 48124-1740
(313) 274-8522
(313) 274-5396
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
008253
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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