TUCKER WILLIAM GROSS

WATERTOWN, SD
NPI1235577495
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SD  DH1175)
Enumeration Date2013-06-10
Last Update Date2013-06-10
Business Address
-- TUCKER WILLIAM GROSS RDH
1306 S LAKE DR
WATERTOWN, SD 57201-5450
Phone number: 605-222-4489
Mailing Address
-- TUCKER WILLIAM GROSS RDH
1306 S LAKE DR
WATERTOWN, SD 57201-5450
Phone number: 605-222-4489