Individual
DR. THOMAS BASIL PUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 BEDFORD STREET, SUITE 14, LEXINGTON, MA 02420
(781) 863-8333
(781) 863-1210
Mailing address
175 BEDFORD STREET, SUITE 14, LEXINGTON, MA 02420
(781) 863-8333
(781) 863-1210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17184
MA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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