Individual
DR. BYRON CHARLES PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12694 S REDWOOD RD, RIVERTON, UT 84065-6605
(801) 254-1278
Mailing address
PO BOX 548, RIVERTON, UT 84065-0548
(801) 254-1278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140202-8903
UT
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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