TAYLOR LOGAN TUCKER

SELMA, AL
NPI1609100593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AL  5723)
Additional Taxonomies122300000X Dentist
(Licence: NC  8864)
Enumeration Date2009-09-24
Last Update Date2011-08-12
Business Address
Dr. TAYLOR LOGAN TUCKER DMD
2455 MEDICAL CENTER PKWY
SELMA, AL 36701-7756
Phone number: 334-872-0486
Mailing Address
Dr. TAYLOR LOGAN TUCKER DMD
2455 MEDICAL CENTER PKWY
SELMA, AL 36701-7756
Phone number: 334-872-0486
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