Individual
DR. JENNIFER H. KONKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7350 S MCCLINTOCK DR, SUITE 103, TEMPE, AZ 85283-5006
(480) 838-3073
Mailing address
7350 S MCCLINTOCK DR, SUITE 103, TEMPE, AZ 85283-5006
(480) 838-3073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008243
AZ
Other
Enumeration date
10/25/2011
Last updated
05/08/2012
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