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Organization

JASON TUCKER DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON R TUCKER DDS (DENTIST)
(509) 448-5888
Entity
Organization

Contact information

Practice address
2718 E 57TH AVE, SPOKANE, WA 99223-6605
(509) 448-5888
Mailing address
2718 E 57TH AVE, SPOKANE, WA 99223-6605
(509) 448-5888

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60111978
WA

Other

Enumeration date
08/01/2016
Last updated
08/01/2016
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