Individual
SUSAN LIEBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6767
Mailing address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22300
FL
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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