Individual
DR. LEWIS SIMPSON LIBBY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7600 OSLER DR, STE 100, TOWSON, MD 21204-7705
(410) 321-1144
(410) 321-1162
Mailing address
7600 OSLER DR, STE 100, TOWSON, MD 21204-7705
(410) 321-1144
(410) 321-1162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06161
MD
Other
Enumeration date
06/15/2005
Last updated
09/11/2007
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