Individual
SCOTT LEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
7 N KNOLL RD, SUITE 2, MILL VALLEY, CA 94941-1663
(415) 388-6710
(415) 388-6684
Mailing address
7 N KNOLL RD, SUITE 2, MILL VALLEY, CA 94941-1663
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45583
CA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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