| Barry Puchkoff Dmd,pc | |
|
1756 Main St Tewksbury MA 01876-2003 | |
| (978) 851-7012 | |
| Not Available |
| Full Name | Barry Puchkoff Dmd,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1756 Main St, Tewksbury, Massachusetts |
| Authorized Official Name and Position | Barry Puchkoff (PRESIDENT) |
| Authorized Official Contact | 9788517012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Puchkoff Dmd,pc 1756 Main St Tewksbury MA 01876-2003 Ph: (978) 851-7012 | Barry Puchkoff Dmd,pc 1756 Main St Tewksbury MA 01876-2003 Ph: (978) 851-7012 |
| NPI Number | 1649453812 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649453812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9170 (Massachusetts) | Primary |
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