Individual
ELIZABETH PUDDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1932 W MARKET ST, POTTSVILLE, PA 17901-2004
(570) 622-2727
Mailing address
1239 MAHANTONGO ST, POTTSVILLE, PA 17901-3303
(570) 573-8198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041892
PA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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