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Individual

MICHAEL B LIBBY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
15 GOLDSMITH LN, OLD TOWN, ME 04468-1489
(207) 827-7179
(207) 827-8374
Mailing address
15 GOLDSMITH LN, P.O. BOX 493, OLD TOWN, ME 04468-1489
(207) 827-7179
(207) 827-8374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2930
ME

Other

Enumeration date
06/15/2006
Last updated
07/08/2007
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