Organization
DANIEL A. LIEBLONG, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AUSTIN LIEBLONG D.D.S. (DENTIST/OWNER)
(501) 562-8273
Entity
Organization
Contact information
Practice address
12822 CRYSTAL VALLEY RD, LITTLE ROCK, AR 72210-4713
(501) 562-8273
(501) 562-2990
Mailing address
12822 CRYSTAL VALLEY RD, LITTLE ROCK, AR 72210-4713
(501) 562-8273
(501) 562-2990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105334608
ARKIDS PROVIDER#
AR
Enumeration date
04/26/2016
Last updated
04/26/2016
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