Organization
STEVEN C TUCKER, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CHARLES TUCKER D.D.S. (CORPORATE OWNER)
(970) 223-2882
Entity
Organization
Contact information
Practice address
1103 OAK PARK DR, #105, FORT COLLINS, CO 80525-6273
(970) 223-2882
(970) 223-4944
Mailing address
1103 OAK PARK DR, #105, FORT COLLINS, CO 80525-6273
(970) 223-2882
(970) 223-4944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05488
CO
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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