GREGORY S PUCKETT

VINE GROVE, KY
NPI1790965374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KY  6383)
Enumeration Date2007-11-12
Last Update Date2010-01-14
Business Address
Dr. GREGORY S PUCKETT DMD
517 HIGHLAND AVE.
VINE GROVE, KY 40175-1461
Phone number: 270-877-5553
Mailing Address
Dr. GREGORY S PUCKETT DMD
517 HIGHLAND AVE
VINE GROVE, KY 40175-1461
Phone number: 270-877-5553