DR. Marie Cross Pucillo, D.M.D.
NPI #1730428749 in St Augustine, Florida
Provider Information
- NPI Number
- 1730428749
- Entity Type
- Individual
- Name
- DR. Marie Cross Pucillo, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Feb 11, 2013
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 150 MALAGA ST
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-3521
- Phone
- (904) 829-9024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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|---|---|
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