Individual
DR. JENNIFER EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
(602) 612-6120
(602) 612-6115
Mailing address
4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
(602) 612-6120
(602) 612-6115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
46179
CA
122300000X
Dentist
Primary
8003
AZ
122300000X
Dentist
D08003
AZ
Other
Enumeration date
12/31/2006
Last updated
08/01/2019
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