Individual
TRENT TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7325 FAR HILLS AVE, DAYTON, OH 45459-4415
(937) 439-1606
Mailing address
8607 SEA PINES LN, DAYTON, OH 45458-3321
(419) 680-0023
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-024376
OH
Other
Enumeration date
05/14/2009
Last updated
04/18/2016
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