Individual
RANDALL D TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
166 NORTH MAIN STREET, ANDOVER, MA 01810
(978) 475-8656
(978) 470-2788
Mailing address
166 NORTH MAIN STREET, ANDOVER, MA 01810
(978) 475-8656
(978) 470-2788
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
15913
MA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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