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Organization
B. CHARLES PUGH D.D.S., P.C.
Active
Organization
B. CHARLES PUGH D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA DIAMOND (OFFICE MANAGER)
(801) 254-1278
Entity
Organization
Contact information
Practice address
12694 S REDWOOD RD, RIVERTON, UT 84065-6605
(801) 254-1278
(801) 254-5778
Mailing address
12694 S REDWOOD RD, RIVERTON, UT 84065-6605
(801) 254-1278
(801) 254-5778
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
140202-9922
UT
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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