| Libby Dental, LLC | |
|
20 Lake St N Ste 205 Forest Lake MN 55025-2511 | |
| (651) 464-3052 | |
| Not Available |
| Full Name | Libby Dental, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20 Lake St N Ste 205, Forest Lake, Minnesota |
| Authorized Official Name and Position | Kayla Libby (DENTIST) |
| Authorized Official Contact | 6512788662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libby Dental, LLC 20 Lake St N Ste 205 Forest Lake MN 55025-2511 Ph: (651) 464-3052 | Libby Dental, LLC 20 Lake St N Ste 205 Forest Lake MN 55025-2511 Ph: (651) 464-3052 |
| NPI Number | 1073335493 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073335493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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