Individual
DR. REO P PUGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10175 GATEWAY BLVD W, STE 304, EL PASO, TX 79925-7618
(915) 504-6880
(915) 599-8579
Mailing address
10175 GATEWAY BLVD W, STE 304, EL PASO, TX 79925-7618
(909) 528-0480
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27779
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
27779
TX
Other
Enumeration date
05/09/2008
Last updated
06/11/2024
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