Individual
DR. BRENT ARLENTON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13412 INGLEWOOD AVE, HAWTHORNE, CA 90250-5603
(310) 219-3266
Mailing address
13412 INGLEWOOD AVE, HAWTHORNE, CA 90250-5603
(310) 219-3266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
65354
CA
122300000X
Dentist
RES3439
OH
1223P0221X
Pediatric Dentistry
Primary
65354
CA
Other
Enumeration date
06/24/2014
Last updated
08/05/2024
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