Individual
SHERYL LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4262
(616) 776-2363
Mailing address
5064 15 MILE RD NE, CEDAR SPRINGS, MI 49319-9158
(616) 648-6349
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902004379
MI
Other
Enumeration date
10/14/2015
Last updated
10/15/2015
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