Individual
DR. LIDIETH LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20950 N TATUM BLVD STE 320, PHOENIX, AZ 85050-4255
(480) 585-5868
(480) 585-1208
Mailing address
20950 N TATUM BLVD STE 320, PHOENIX, AZ 85050-4255
(480) 585-5868
(480) 585-1208
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5548
AZ
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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