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Organization
TUCKER DENTAL GROUP
Active
Organization
TUCKER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TUCKER (CFO)
(650) 992-2745
Entity
Organization
Contact information
Practice address
6296 MISSION ST, DALY CITY, CA 94014-2009
(650) 992-2745
Mailing address
6296 MISSION ST, DALY CITY, CA 94014-2009
(650) 992-2745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40898
CA
Other
Enumeration date
03/05/2007
Last updated
07/09/2008
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