Brisbain R Pucan Professional Dental Corporation
NPI #1487749362 in Vallejo, California
Provider Information
- NPI Number
- 1487749362
- Entity Type
- Organization
- Organization Name
- Brisbain R Pucan Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 1, 2008
Practice Location
- Address
- 2143 SPRINGS RD
- Address 2
- #51
- City
- Vallejo
- State
- California
- ZIP Code
- 94591-5566
- Phone
- (707) 552-3952
Authorized Official
- Name
- DR. BRISBAIN RIGOR PUCAN, D.M.D
- Title
- DENTIST
- Phone
- (707) 552-3952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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