Individual
DR. THERESA KAY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2586 CLOVER ST, KLAMATH FALLS, OR 97601-1115
(541) 884-9555
(541) 882-7423
Mailing address
2586 CLOVER ST, KLAMATH FALLS, OR 97601-1115
(541) 884-9555
(541) 882-7423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8924
OR
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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