Individual
LAWRENCE A PUCCINELLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10363 TORRE AVE STE E, CUPERTINO, CA 95014-3236
(408) 252-1970
(408) 252-1904
Mailing address
10363 TORRE AVE STE E, CUPERTINO, CA 95014-3236
(408) 252-1970
(408) 252-1904
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
20253
CA
1223E0200X
Endodontics
Primary
42214
CA
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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