Libby Dental, LLC
NPI #1073335493 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1073335493
- Entity Type
- Organization
- Organization Name
- Libby Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 20 LAKE ST N STE 205
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2511
- Phone
- (651) 464-3052
Authorized Official
- Name
- DR. KAYLA LIBBY, DDS
- Title
- DENTIST
- Phone
- (651) 278-8662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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