Individual
JENNIFER PAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENST
Contact information
Practice address
101 N 6TH ST STE 310, ALLENTOWN, PA 18101-1403
(484) 224-0777
Mailing address
101 N 6TH ST STE 310, ALLENTOWN, PA 18101-1403
(610) 969-3003
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH070635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
08/09/2022
Last updated
06/06/2023
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