DR. David Allan Liebold, DDS

NPI #1417097007 in Bottineau, North Dakota

Provider Information

NPI Number: 1417097007
Entity Type: Individual
Name: DR. David Allan Liebold, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 621 MAIN ST
City: Bottineau
State: North Dakota
ZIP Code: 58318-1344
Phone: (701) 228-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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