Individual
JENNIFER JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E BELL RD, SUITE 150, PHOENIX, AZ 85022
(602) 285-3520
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7826
AZ
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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