Search › California › 1223G0001X
Nisa Liberty, DDS
NPI 1942862982 · on the registry since 2019
Practice
- Address
- 8008 Folsom Auburn Rd
Folsom, CA 95630 - Phone
- (916) 517-8188
- Organisation at this address
- Pinebrook Dental Care Corp Dental Office Of Diane C. Liberty, Dds Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2851 University Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California