Individual
DR. BRADY GLENN LYBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 E OSBORN RD, SCOTTSDALE, AZ 85256
(480) 946-9066
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(620) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10848090-9922
UT
Other
Enumeration date
07/26/2018
Last updated
12/02/2021
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