Individual
EDWARD JOSEPH TUCHOLSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 MDG, 1055 E. STEWART BLDG 2018, PETERSON AFB, CO 80914
(719) 556-1333
Mailing address
88 MDG, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433
(937) 257-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62827
CA
Other
Enumeration date
08/08/2013
Last updated
04/13/2021
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