Organization
LIBERTY DENTAL PLAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARZENA FERCZ (CHIEF COMPLIANCE OFFICER)
(917) 922-2313
Entity
Organization
Contact information
Practice address
1730 FLIGHT WAY STE 125, TUSTIN, CA 92782-1828
(888) 703-6999
Mailing address
1730 FLIGHT WAY STE 125, TUSTIN, CA 92782-1828
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
10/23/2025
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