Individual
GEORGE PUHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1730 E BROAD ST, #5, HAZLETON, PA 18201-5622
(570) 459-1911
Mailing address
1730 E BROAD ST, #5, HAZLETON, PA 18201-5622
(570) 459-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025371L
PA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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