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Organization
ELEANOR S TUCKER, DDS
Active
Organization
ELEANOR S TUCKER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TUCKER (CFO)
(650) 991-2851
Entity
Organization
Contact information
Practice address
187 SOUTHGATE AVE, DALY CITY, CA 94015-3160
(650) 991-2851
Mailing address
187 SOUTHGATE AVE, DALY CITY, CA 94015-3160
(650) 991-2851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40898
CA
Other
Enumeration date
03/06/2007
Last updated
07/09/2008
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