| Gerald B. Leiber, D.m.d., P.c. | |
|
0 Governors Ave Suite 30 Medford MA 02155-3025 | |
| (781) 391-5100 | |
| (781) 391-4833 |
| Full Name | Gerald B. Leiber, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 0 Governors Ave, Medford, Massachusetts |
| Authorized Official Name and Position | Gerald B. Leiber (DENTIST) |
| Authorized Official Contact | 7813915100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald B. Leiber, D.m.d., P.c. 0 Governors Ave Suite 30 Medford MA 02155-3025 Ph: (781) 391-5100 | Gerald B. Leiber, D.m.d., P.c. 0 Governors Ave Suite 30 Medford MA 02155-3025 Ph: (781) 391-5100 |
| NPI Number | 1528272721 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528272721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12008 (Massachusetts) | Primary |
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