NPI | 1497955710 |
---|---|
Doing Business As | TUCKER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN TUCKER Owner 512-260-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22102) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2008-06-23 |