Individual
DR. MAUREEN RUTH LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
115 NORTH LOOP 1604 EAST, SUITE 2209, SAN ANTONIO, TX 78232
(210) 403-0042
(210) 403-0979
Mailing address
115 NORTH LOOP 1604 EAST, SUITE 2209, SAN ANTONIO, TX 78232
(210) 403-0042
(210) 403-0979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18650
FL
1223P0700X
Prosthodontics
29842
TX
1223P0700X
Prosthodontics
DN18650
FL
1223P0700X
Prosthodontics
Primary
TX29842
TX
Other
Enumeration date
06/30/2010
Last updated
12/10/2018
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