Individual
DR. KEVIN JOSEPH LIBERKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5101 VERNON AVE S, SUITE 1B, EDINA, MN 55436-2172
(952) 920-9579
(952) 920-9298
Mailing address
5101 VERNON AVE S, SUITE 1B, EDINA, MN 55436-2172
(952) 920-9579
(952) 920-9298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13662
MN
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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