Individual
DR. THEODORE JOSEPH JENAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
517 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 634-8000
(928) 639-0429
Mailing address
517 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 634-8000
(928) 639-0429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
042008
NY
122300000X
Dentist
Primary
06321
AZ
Other
Enumeration date
11/07/2006
Last updated
05/15/2015
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