Individual
DR. JESSE J. PUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
4375 FIRST ST, LIVERMORE, CA 94551-4912
(925) 294-9288
Mailing address
4375 FIRST ST, LIVERMORE, CA 94551-4912
(925) 294-9288
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
65076
CA
Other
Enumeration date
10/06/2015
Last updated
12/29/2015
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