Ian Ross Lieberman, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Parkland, FL. Individual provider (NPI-1).
NPI number1497265045
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1497265045
- Entity type
- Individual (NPI-1)
- Name
- Ian Ross Lieberman
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2017
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN21521 | FL | Yes |
Practice location
11153 Meridian Dr NParkland, FL 33076-4617
Phone 561-722-3276
Mailing address
11153 Meridian Dr NParkland, FL 33076-4617
Phone 561-722-3276
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