Individual
DR. JENNA L GAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MA
Contact information
Practice address
1175 W WICKENBURG WAY, SUITE 1, WICKENBURG, AZ 85390-2262
(928) 684-5475
Mailing address
1175 W WICKENBURG WAY, SUITE 1, WICKENBURG, AZ 85390-2262
(928) 684-5475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI2715600
NJ
1223G0001X
General Practice Dentistry
Primary
D011690
AZ
Other
Enumeration date
10/03/2018
Last updated
06/26/2023
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