Individual
JENNIFER JUNGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1255
NM
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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