Individual
MRS. GAIL M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
189 BAKER AVE, WEBSTER GROVES, MO 63119
(314) 961-1160
(314) 961-7822
Mailing address
7 HAZEL TRAIL CT, FENTON, MO 63026-4209
(636) 677-6117
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000442
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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