Individual
MARIUS PUHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4850 N 83RD AVE, PHOENIX, AZ 85033-1052
(623) 385-7100
Mailing address
8922 W CALLE LEJOS, PEORIA, AZ 85383-1212
(708) 655-4739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011090
AZ
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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