# AMY PUGH DMD PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831454990
- **Authorized official:** AMY PUGH D.M.D. (PRESIDENT)
- **Authorized official phone:** (360) 256-7455

## Contact information

- **Practice address:** 10115 SE MILL PLAIN BLVD, VANCOUVER, WA 98664-4522
- **Practice address phone:** (360) 256-7455
- **Practice address fax:** (360) 892-5533
- **Mailing address:** 10115 SE MILL PLAIN BLVD, VANCOUVER, WA 98664-4522
- **Mailing address phone:** (360) 256-7455
- **Mailing address fax:** (360) 892-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010330 | WA | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012