Organization
DONALD R. LIBERTY, DDS, INC.
Active
Other names
Golden Foothills Oral and Facial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ROBERT LIBERTY D.D.S. (PRESIDENT)
(916) 941-9860
Entity
Organization
Contact information
Practice address
4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9636
(916) 941-9860
(916) 941-7165
Mailing address
4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762-9636
(916) 941-9860
(916) 941-7165
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53466
CA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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