Individual
PATRICIA W TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
902 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 895-9422
Mailing address
1018 WESTGATE PL, LOUISVILLE, KY 40207-2327
(502) 419-7971
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6595/605
KY
Other
Enumeration date
04/03/2006
Last updated
03/04/2010
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