Individual
GREGORY PUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8502 HARFORD RD, PARKVILLE, MD 21234-4651
(410) 882-9620
Mailing address
8502 HARFORD RD # 100, PARKVILLE, MD 21234-4651
(410) 882-9620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02559200
NJ
1223G0001X
General Practice Dentistry
Primary
16437
MD
1223G0001X
General Practice Dentistry
22DI02559200
NJ
Other
Enumeration date
02/11/2014
Last updated
10/29/2024
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