Ebby Prime, LLC

NPI #1043566466 in Chandler, Arizona

Provider Information

NPI Number: 1043566466
Entity Type: Organization
Organization Name: Ebby Prime, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 3, 2012
Last Updated: Aug 3, 2012

Practice Location

Address: 390 N BELL PL
City: Chandler
State: Arizona
ZIP Code: 85225-4200
Phone: (602) 568-8116

Authorized Official

Name: DR. BRETT E BENSON, DDS
Title: MANAGER
Phone: (602) 545-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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