Individual
JYOTIKA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS ENDO
Contact information
Practice address
1356 BOSTON ROAD, BOSTON, MA 01103
(413) 782-8700
(413) 782-8184
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
009589
CT
1223E0200X
Endodontics
Primary
21733
MA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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