DR. RUSSELL LIEBLICK, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1407856156
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | D8342 (OR) |
Frequently Asked Questions
NPI 1407856156 is the National Provider Identifier for DR. RUSSELL LIEBLICK, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Gresham, OR. This NPI was enumerated on July 22, 2005.
DR. RUSSELL LIEBLICK, DMD practices at 24850 SE STARK ST, SUITE 100, Gresham, OR 97030.
Quick Facts
- NPI
- 1407856156
- Type
- Individual
- Enumerated
- Jul 22, 2005
- Last Updated
- Jul 8, 2007
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