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Nisa Keane Liberty, DDS
Student in an Organized Health Care Education/Training Program in Folsom, California
NPI 1942862982

Nisa Keane Liberty is a Student in an Organized Health Care Education/Training Program based in Folsom, CA. Nisa Keane Liberty practices in Folsom, CA and has the professional credentials of DDS. The NPI Number for Nisa Keane Liberty is 1942862982 and holds a License No. 105107 (California).

The current practice location address for Nisa Keane Liberty is 8008 Folsom Auburn Rd, Folsom, CA and can be reached out via phone at 916-517-8188.

Location: 8008 Folsom Auburn Rd, Folsom, CA, 95630-1664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942862982
Provider Name
Nisa Keane Liberty
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
8008 Folsom Auburn Rd, Folsom, CA, 95630-1664
Phone Number
916-517-8188
Fax Number
Provider Enumeration Date
06/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8008 Folsom Auburn Rd
City
Folsom
State
California
Zip
95630-1664
Phone Number
916-517-8188
Fax Number
person
Provider Business Mailing Address Details
Address
8008 Folsom Auburn Rd
City
Folsom
State
California
Zip
95630-1664
Phone Number
916-517-8188
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
105107 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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