Individual provider · NPI-1

Dr. Dionisio Teng Libi

Otolaryngology, Facial Plastic Surgery · Fargo, ND

NPI number1255680187
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1255680187
Entity type
Individual (NPI-1)
Name
Dr. Dionisio Teng Libi
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 6, 2012
Last updated
Sep 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YS0123X Otolaryngology, Facial Plastic Surgery2943NDYes

Practice location

5005 Meadow Creek Dr S
Fargo, ND 58104-7118

Phone 701-235-0414 · Fax 701-235-0414

Mailing address

5005 Meadow Creek Drive
Fargo, ND 58104

Phone 701-235-0414 · Fax 701-235-0414

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