Individual
DR. HUGH WARREN JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2418 E DESERT COVE AVE, PHOENIX, AZ 85028-2522
(602) 315-9722
Mailing address
2418 E DESERT COVE AVE, PHOENIX, AZ 85028-2522
(602) 315-9722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8675
AZ
Other
Enumeration date
12/10/2012
Last updated
01/14/2015
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