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Individual

IAN ROSS LIEBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
11153 MERIDIAN DR N, PARKLAND, FL 33076-4617
(561) 722-3276
Mailing address
11153 MERIDIAN DR N, PARKLAND, FL 33076-4617
(561) 722-3276

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21521
FL

Other

Enumeration date
10/10/2017
Last updated
12/08/2019
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