| Ebby Prime, Llc | |
|
390 N Bell Pl Chandler AZ 85225-4200 | |
| (602) 568-8116 | |
| Not Available |
| Full Name | Ebby Prime, Llc |
|---|---|
| Speciality | Dentist |
| Location | 390 N Bell Pl, Chandler, Arizona |
| Authorized Official Name and Position | Brett E Benson (MANAGER) |
| Authorized Official Contact | 6025458400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebby Prime, Llc 652 E Warner Rd Ste 101 Gilbert AZ 85296-3071 Ph: (602) 568-8116 | Ebby Prime, Llc 390 N Bell Pl Chandler AZ 85225-4200 Ph: (602) 568-8116 |
| NPI Number | 1043566466 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043566466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Arizona) | Primary |
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