Individual
MR. ELDON W JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W FRONTIER ST STE 5, PAYSON, AZ 85541-5361
(928) 472-2500
(928) 472-6699
Mailing address
200 W FRONTIER ST STE 5, PAYSON, AZ 85541-5361
(928) 472-2500
(928) 472-6699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6467
AZ
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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