Provider Demographics
NPI:1417092867
Name:PUNGOCI, MARIA D (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:D
Last Name:PUNGOCI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4815 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2829
Mailing Address - Country:US
Mailing Address - Phone:713-781-9668
Mailing Address - Fax:713-781-9768
Practice Address - Street 1:6250 WESTPARK DR
Practice Address - Street 2:SUITE#210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7322
Practice Address - Country:US
Practice Address - Phone:713-781-9668
Practice Address - Fax:713-781-9768
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice