| NPI | 1922111996 |
|---|---|
| Professional Name | JOHN WESLEY TUCKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3142 442) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 442) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-10-16 |