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1790965374
GREGORY S PUCKETT
VINE GROVE, KY
NPI
1790965374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 6383)
Enumeration Date
2007-11-12
Last Update Date
2010-01-14
Business Address
Dr. GREGORY S PUCKETT DMD
517 HIGHLAND AVE.
VINE GROVE, KY 40175-1461
Phone number: 270-877-5553
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Mailing Address
Dr. GREGORY S PUCKETT DMD
517 HIGHLAND AVE
VINE GROVE, KY 40175-1461
Phone number: 270-877-5553
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