Individual
JENA BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
302 4TH ST SW, FORT PAYNE, AL 35967-1840
(256) 845-7300
Mailing address
302 4TH ST SW, FORT PAYNE, AL 35967-1840
(256) 845-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0006626-C1
AL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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