Provider Demographics
NPI:1083750657
Name:PUZIN, THOMAS W S (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W S
Last Name:PUZIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:545 SARATOGA AV
Mailing Address - Street 2:THOMAS PUZIN DDS FAMILY DENTISTRY SUITE B
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5672
Mailing Address - Country:US
Mailing Address - Phone:408-247-5442
Mailing Address - Fax:408-247-9412
Practice Address - Street 1:545 SARATOGA AV
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5672
Practice Address - Country:US
Practice Address - Phone:408-247-5442
Practice Address - Fax:408-247-9412
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27056122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist