Individual
DR. DEVON PUCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4391 CANAL AVE SW STE A, GRANDVILLE, MI 49418-2680
(616) 266-0264
Mailing address
4391 CANAL AVE SW STE A, GRANDVILLE, MI 49418-2680
(616) 266-0264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2019011336
MO
1223G0001X
General Practice Dentistry
Primary
2901602000
MI
1223G0001X
General Practice Dentistry
DEN.00203754
CO
Other
Enumeration date
08/20/2018
Last updated
12/20/2023
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