DR. MARIE PUCILLO, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1730428749
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | DN22667 (FL) |
Frequently Asked Questions
NPI 1730428749 is the National Provider Identifier for DR. MARIE PUCILLO, D.M.D., a Dentist - General Practice provider located in St Augustine, FL. This NPI was enumerated on February 11, 2013.
DR. MARIE PUCILLO, D.M.D. practices at 150 MALAGA ST, St Augustine, FL 32084.
Quick Facts
- NPI
- 1730428749
- Type
- Individual
- Enumerated
- Feb 11, 2013
- Last Updated
- Jul 21, 2022
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