Individual
TAMARA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15910 W COMPANY LAKE RD, HAYWARD, WI 54843-5320
(715) 372-5001
Mailing address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
(715) 372-5061
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10816
WI
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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