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Organization
R SCOTT PUHN DDS PS
Active
Organization
R SCOTT PUHN DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL SCOTT PUHN DDS DOCTOR OF DENTAL (DENTIST)
(360) 779-9090
Entity
Organization
Contact information
Practice address
20730 BOND RD NE, SUITE 202B, POULSBO, WA 98370
(360) 779-9090
(360) 779-9106
Mailing address
20730 BOND RD NE, SUITE 202B, POULSBO, WA 98370
(360) 779-9090
(360) 779-9106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5027
WDS
WA
05
—
5517909
—
WA
01
—
836940
UNITED CONCORDIA
WA
01
—
94276
DELTA DENTAL
WA
Enumeration date
11/09/2006
Last updated
08/22/2020
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