Pinebrook Dental Care Corp Dental Office of Diane C. Liberty, DDS Corp

NPI #1407187388 in Folsom, California

Provider Information

NPI Number
1407187388
Entity Type
Organization
Organization Name
Pinebrook Dental Care Corp Dental Office of Diane C. Liberty, DDS Corp
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 16, 2010
Last Updated
Jan 16, 2010

Practice Location

Address
8008 FOLSOM AUBURN RD
City
Folsom
ZIP Code
95630-1664
Phone
(916) 988-7790

Authorized Official

Name
DR. DIANE B CARANDANG-LIBERTY, DDS
Title
PRESIDENT/OWNER
Phone
(916) 988-7790

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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