Individual
DR. GREGORY A PUCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D D S
Contact information
Practice address
510 BAXTER RD, SUITE # 3, CHESTERFIELD, MO 63017-7032
(636) 391-1911
(636) 391-0629
Mailing address
510 BAXTER RD, SUITE # 3, CHESTERFIELD, MO 63017-7032
(636) 391-1911
(636) 391-0629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13772
MO
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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