Pukapllc

NPI #1639592975 in Mckinney, Texas

Provider Information

NPI Number: 1639592975
Entity Type: Organization
Organization Name: Pukapllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 22, 2014
Last Updated: Jan 22, 2014

Practice Location

Address: 1321 N TENNESSEE ST
Address 2: 108
City: Mckinney
State: Texas
ZIP Code: 75069-2142
Phone: (469) 742-0793

Authorized Official

Name: TOMMY TRUONG
Title: OFFICE MANAGER
Phone: (469) 742-0793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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