Individual
MARTIN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 13TH AVE S, SEATTLE, WA 98108-2706
(206) 548-3114
(206) 762-6355
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5039458
—
WA
Enumeration date
11/08/2006
Last updated
09/13/2011
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