Individual
INDAIA SOARES LEIBOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-5440
Mailing address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-5440
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DTP748
FL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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