Individual
ROY EDWARD PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,LTD
Contact information
Practice address
5671 RICHMOND ROAD, WARSAW, VA 22572-0367
(804) 333-4054
(804) 333-5012
Mailing address
P.O. BOX 367, WARSAW, VA 22572-0367
(804) 333-4054
(804) 333-5012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006888
VA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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