Individual
DR. DANIEL ROBERT PUGSLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24300 CHAGRIN BLVD, BEACHWOOD, OH 44122-5639
(216) 464-7820
Mailing address
24300 CHAGRIN BLVD, BEACHWOOD, OH 44122
(216) 464-7820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16475
STATE DENTAL LICENSE
OH
Enumeration date
09/12/2008
Last updated
09/12/2008
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