Individual
DR. ALAN CHARLES TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
639A BEAVER RUIN RD NW, LILBURN, GA 30047-3401
(770) 923-5200
(770) 564-0613
Mailing address
639A BEAVER RUIN RD NW, LILBURN, GA 30047-3401
(770) 923-5200
(770) 564-0613
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
#10864
GA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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