Individual
DR. IVES HENRY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7105 21ST AVE, BROOKLYN, NY 11204-5850
(718) 256-0022
Mailing address
4 WILLIAMSBURG CT, EAST BRUNSWICK, NJ 08816-3249
(732) 238-7751
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
037253-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771802
—
NY
Enumeration date
03/18/2007
Last updated
07/08/2007
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