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Individual

DR. GREGORY A LIBBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
20950 N TATUM BLVD STE 340, PHOENIX, AZ 85050-4256
(480) 502-9833
(480) 502-9847
Mailing address
20950 N TATUM BLVD STE 340, PHOENIX, AZ 85050-4256
(480) 502-9833
(480) 502-9847

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5457
AZ

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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