Individual
MARK GIRARD PUGLIESE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 WALL ST, CONCORD, NH 03301-3743
(717) 517-6349
Mailing address
5 MEGWAY CT UNIT A, HOOKSETT, NH 03106-1762
(717) 517-6349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4996
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
05/05/2025
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