| Doctor Name: | MARTIN F PUGA |
| NPI Number: | 1225318124 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2312763 MEXICO |
| Business Practice Address: | Rosario Castellanos # 10160 7b Zona Rio Tijuana, BAJA CALIFORINA - 22300 |
| Business Phone Number: | 6198614782 |
| Business Fax Number: | |
| Mailing Address: | 3208 Naylor Rd, SAN YSIDRO |
| State: | CA |
| Postal Code: | 921734801 |
| Phone Number: | 6193951135 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2011 |
| NPI Last Update Date: | 08/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 2312763 MEXICO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |