NPI | 1730309865 |
---|---|
Doing Business As | TUCKER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PERRON LEE TUCKER President 205-822-6669 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4550) |
Enumeration Date | 2007-04-30 |
Last Update Date | 2015-08-11 |