Individual
MRS. KATHERINE PATE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2300 RAMSEY ST, DENTAL SERVICE (160), FAYETTEVILLE, NC 28301-3856
(910) 822-7029
Mailing address
4204 KIRKWOOD PL, FAYETTEVILLE, NC 28303-4919
(910) 868-4008
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1767
NC
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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