Individual
DR. GARY RODERICK TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5501 FORTUNES RIDGE DR STE H, DURHAM, NC 27713-6102
(919) 493-8944
Mailing address
1101 MASON FARM RD APT 314, CHAPEL HILL, NC 27514-3949
(919) 914-0313
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8189
NC
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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