NPI | 1801809298 |
---|---|
Doing Business As | SOUTH BAY FAMILY DENTAL GROUP |
Former Legal Business Name | EDWARD P. LIEBERSBACH DDS DENTAL CORPORATION |
Entity Type | Organization |
Authorized Contact | SARO SETIAN Owner 310-539-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32347) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2021-10-07 |