Individual
DR. HUBERT TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
171 GWINNETT DR, SUITE C, LAWRENCEVILLE, GA 30045
(770) 963-1941
(770) 963-7707
Mailing address
171 GWINNETT DR, SUITE C, LAWRENCEVILLE, GA 30045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7657
GA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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