Individual
DR. C RAY PUCKETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2150 HWY 54 S, ALAMOGORDO, NM 88011
(575) 443-8133
(575) 267-1747
Mailing address
2150 HWY 54 S, ALAMOGORDO, NM 88011
(575) 443-8133
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1726
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84927
—
NM
Enumeration date
09/02/2005
Last updated
07/15/2015
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