ALEX JOSEPH LIBOON RUSTIA

ST AUGUSTINE, FL
NPI1194554535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN29444)
Enumeration Date2024-08-01
Last Update Date2026-01-26
Business Address
Dr. ALEX JOSEPH LIBOON RUSTIA DMD
150 MALAGA ST
ST AUGUSTINE, FL 32084-3521
Phone number: 904-829-9024
Mailing Address
Dr. ALEX JOSEPH LIBOON RUSTIA DMD
278 TIDAL BEACH AVE
ST AUGUSTINE, FL 32095-0148
Phone number: 908-670-6108