DR. Jeremy John Liddiard, D.M.D.

NPI #1003269358 in Phoenix, Arizona

Provider Information

NPI Number
1003269358
Entity Type
Individual
Name
DR. Jeremy John Liddiard, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jul 21, 2016
Last Updated
Jul 21, 2016

Practice Location

Address
12005 N TATUM BLVD
Address 2
SUITE 105
State
Arizona
ZIP Code
85028-1650
Phone
(602) 971-0026

Specialties & Taxonomy Codes

Specialty
Dentist

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