Organization
LIBERTY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. PAUL KREY D.D.S. (PRESIDENT)
(925) 634-3501
Entity
Organization
Contact information
Practice address
6440 BRENTWOOD BLVD STE B, BRENTWOOD, CA 94513-2190
(925) 634-3501
(925) 634-1539
Mailing address
6440 BRENTWOOD BLVD STE B, BRENTWOOD, CA 94513-2190
(925) 634-3501
(925) 634-1539
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16705
CA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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