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Individual
DR. TRAVIS CRAIG TUCKER
Active
Individual
DR. TRAVIS CRAIG TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040406
PA
1223G0001X
General Practice Dentistry
Primary
100019
CA
1223G0001X
General Practice Dentistry
DS040406
PA
Other
Enumeration date
06/04/2015
Last updated
06/18/2024
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