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Individual

DR. JEFFERY PUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11301 WILSHIRE BLVD, VETERANS AFFAIRS, GLAHS, BLDG 500 DENTAL / W160, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-3941
Mailing address
11301 WILSHIRE BLVD, VETERANS AFFAIRS, GLAHS, BLDG 500 DENTAL / W160, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-3941

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51211
CA

Other

Enumeration date
06/22/2006
Last updated
07/25/2007
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