Individual
DR. LAURA JUDSON SIBRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21809 N SCOTTSDALE RD, SUITE C-105, SCOTTSDALE, AZ 85255-7440
(480) 563-0000
(480) 563-4445
Mailing address
21479 N 78TH DR, PEORIA, AZ 85382-3336
(847) 630-4256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8534
AZ
122300000X
Dentist
DD3813
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25501585
—
NM
Enumeration date
10/05/2012
Last updated
01/12/2017
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