B. Charles Pugh D.d.s., P.c.

NPI #1861887838 in Riverton, Utah

Provider Information

NPI Number
1861887838
Entity Type
Organization
Organization Name
B. Charles Pugh D.d.s., P.c.
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Apr 6, 2015
Last Updated
Apr 6, 2015

Practice Location

Address
12694 S REDWOOD RD
State
Utah
ZIP Code
84065-6605
Phone
(801) 254-1278

Authorized Official

Name
MS. MELINDA DIAMOND
Title
OFFICE MANAGER
Phone
(801) 254-1278

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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