Individual
DR. DAVID ISAAC TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2410 STANLEY ROAD, DENTAC SUITE 200J, FORT SAM HOUSTON, TX 78234-6230
(210) 295-2743
(210) 295-2602
Mailing address
2410 STANLEY ROAD, DENTAC SUITE 200J, FORT SAM HOUSTON, TX 78234-6230
(210) 295-2743
(210) 295-2602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0021380
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21380
TX
Other
Enumeration date
04/04/2006
Last updated
10/01/2014
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