Organization
BARRY PUCHKOFF DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY PUCHKOFF DMD (PRESIDENT)
(978) 851-7012
Entity
Organization
Contact information
Practice address
1756 MAIN ST, TEWKSBURY, MA 01876-2003
(978) 851-7012
Mailing address
1756 MAIN ST, TEWKSBURY, MA 01876-2003
(978) 851-7012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9170
MA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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