David Ray Libby D.D.S.

NPI 1194056648 - Dentist - 1223X0400X

NPI Details
NPI 1194056648
Gender Male
Enumeration Date 01/22/2010
Last Updated 01/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
7732 AIRWAYS BLVD
SOUTHAVEN MS, 38671-5306, US
Phone (662) 349-0777
Fax (662) 349-0782
Business Location
7732 AIRWAYS BLVD
SOUTHAVEN MS, 38671-5306, US
Phone (662) 349-0777
Fax (662) 349-0782
Toxanomy
Taxonomy Code 1223X0400X
License State Tennessee
License Number DS1639
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According to our database, Dr. David Ray Libby D.D.S. NPI is 1194056648, taxonomy code is 1223X0400X and license number is DS1639, license state is located at Tennessee. David Ray Libby D.D.S. physically located at 7732 Airways Blvd, Southaven MS, 38671-5306. NPI Number David Ray Libby D.D.S. has the Individual type.

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1194056648 NPI number is provided on an as is basis without warranty of any kind. 1194056648 is maintained by the National Plan & Provider Enumeration System. The contents of David Ray Libby D.D.S. are for informational purposes only.