Organization
EBBY PRIME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT E BENSON DDS (MANAGER)
(602) 545-8400
Entity
Organization
Contact information
Practice address
390 N BELL PL, CHANDLER, AZ 85225-4200
(602) 568-8116
Mailing address
652 E WARNER RD, STE 101, GILBERT, AZ 85296-3071
(602) 568-8116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
AZ
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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