Individual
DR. JEFFREY M PUKATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1712 I ST NW STE 904, WASHINGTON, DC 20006-3702
(202) 338-4041
Mailing address
1712 I ST NW STE 904, WASHINGTON, DC 20006-3702
(202) 338-4041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2915
DC
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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