Richard Benjamin Leibowitz DDS

NPI 1083733604 - Dentist - 122300000X

NPI Details
NPI 1083733604
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12708 SAN JOSE BLVD STE 3
JACKSONVILLE FL, 32223-2600, US
Phone (904) 268-0904
Fax (904) 268-0306
Business Location
11955 LITTLE CREEK LN
JACKSONVILLE FL, 32223-7117, US
Phone (904) 268-4351
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number 4632
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According to our database, Dr. Richard Benjamin Leibowitz DDS NPI is 1083733604, taxonomy code is 122300000X and license number is 4632, license state is located at Florida. Richard Benjamin Leibowitz DDS physically located at 12708 San Jose Blvd Ste 3, Jacksonville FL, 32223-2600. NPI Number Richard Benjamin Leibowitz DDS has the Individual type.

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1083733604 NPI number is provided on an as is basis without warranty of any kind. 1083733604 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Benjamin Leibowitz DDS are for informational purposes only.