Individual
DR. ERIC M. ALLTUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDSMD
Contact information
Practice address
990 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1313
(805) 541-3220
(805) 541-3704
Mailing address
990 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1313
(805) 541-3220
(805) 541-3704
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D46732
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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