Organization
LIBERTY DENTAL AND VISION, INC.
Active
Parent organization
LIBERTY DENTAL PLAN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY DENTAL PLAN CORPORATION
Authorized official
MARZENA FERCZ (CHIEF COMPLIANCE OFFICER)
(888) 703-6999
Entity
Organization
Contact information
Practice address
1730 FLIGHT WAY STE 125, TUSTIN, CA 92782-1828
(888) 703-6999
Mailing address
1730 FLIGHT WAY STE 125, TUSTIN, CA 92782-1828
(888) 703-6999
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
12/03/2025
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