Organization
BRISBAIN R PUCAN PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRISBAIN RIGOR PUCAN D.M.D (DENTIST)
(707) 552-3952
Entity
Organization
Contact information
Practice address
2143 SPRINGS RD, #51, VALLEJO, CA 94591-5566
(707) 552-3952
(707) 552-9320
Mailing address
2143 SPRINGS RD, #51, VALLEJO, CA 94591-5566
(707) 552-3952
(707) 552-9320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/01/2008
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